Great Neck Rx Inc.
NPI 1174309850 · Pharmacy · Great Neck, NY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Neck Rx Inc. is a Pharmacy organization in Great Neck, NY (NPI 1174309850).
Provider details
- NPI number
- 1174309850
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Boris Maksumov, Owner(954) 736-6957
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pillsource Pharmacy Inc.
Registry dates
- Enumerated
- 2023-09-07
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Frequently asked questions
- What is Great Neck Rx Inc.'s NPI number?
- Great Neck Rx Inc.'s National Provider Identifier (NPI) is 1174309850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Neck Rx Inc.?
- Great Neck Rx Inc. is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Great Neck Rx Inc. located?
- Great Neck Rx Inc.'s practice location on file with NPPES is 140a Middle Neck Rd, Great Neck, NY 11021-1232.
- What is Great Neck Rx Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Great Neck Rx Inc. is (516) 304-5648.
- Does Great Neck Rx Inc. accept Medicare?
- Great Neck Rx Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Neck Rx Inc.?
- The authorized official listed on Great Neck Rx Inc.'s NPPES record is Boris Maksumov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Neck Rx Inc.'s NPI active?
- Yes — Great Neck Rx Inc.'s NPI (1174309850) is active in the NPPES registry as of the last update on 2024-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.