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.

OrganizationActiveAccepts Medicare

Great Neck Rx Inc.

NPI 1174309850 · Pharmacy · Great Neck, NY

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

Practice location

140a Middle Neck Rd

Great Neck, NY 11021-1232

Phone: (516) 304-5648

Street-level locationGet directions

More NY providers

Mailing address

140a Middle Neck Rd

Great Neck, NY 11021-1232

Specialties & taxonomies

PharmacyPrimary333600000X
Suppliers

Other names (DBA / former)

Doing business as: Pillsource Pharmacy Inc.

Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions