OrganizationActive
Medical Group Pharmacy Inc
NPI 1306941380 · Community/Retail Pharmacy · Lake Ronkonkoma, NY
Medical Group Pharmacy Inc is a Community/Retail Pharmacy organization in Lake Ronkonkoma, NY (NPI 1306941380).
Provider details
- NPI number
- 1306941380
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Paul Autler, Supervising Pharmacist(631) 588-8582
- License
- 017633 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
650 Hawkins Ave
Lake Ronkonkoma, NY 11779-2366
Phone: (631) 588-8582
Fax: (631) 588-8599
Street-level locationGet directions
Mailing address
650 Hawkins Ave
Lake Ronkonkoma, NY 11779-2366
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Medical Group Pharmacy Inc's NPI number?
- Medical Group Pharmacy Inc's National Provider Identifier (NPI) is 1306941380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Group Pharmacy Inc?
- Medical Group Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Medical Group Pharmacy Inc located?
- Medical Group Pharmacy Inc's practice location on file with NPPES is 650 Hawkins Ave, Lake Ronkonkoma, NY 11779-2366.
- What is Medical Group Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Medical Group Pharmacy Inc is (631) 588-8582.
- Who is the authorized official for Medical Group Pharmacy Inc?
- The authorized official listed on Medical Group Pharmacy Inc's NPPES record is Paul Autler, Supervising Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Group Pharmacy Inc's NPI active?
- Yes — Medical Group Pharmacy Inc's NPI (1306941380) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.