OrganizationActive
108 Pharmacy Inc
NPI 1407626070 · Long Term Care Pharmacy · Corona, NY
108 Pharmacy Inc is a Long Term Care Pharmacy organization in Corona, NY (NPI 1407626070).
Provider details
- NPI number
- 1407626070
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Roman Badalov, Owner(646) 752-0490
Specialties & taxonomies
Suppliers
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
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
4502 108th St
Corona, NY 11368-2917
Phone: (718) 847-1982
Fax: (718) 228-4985
Street-level locationGet directions
Mailing address
4502 108th St
Corona, NY 11368-2917
Registry dates
- Enumerated
- 2024-01-04
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Frequently asked questions
- What is 108 Pharmacy Inc's NPI number?
- 108 Pharmacy Inc's National Provider Identifier (NPI) is 1407626070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 108 Pharmacy Inc?
- 108 Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is 108 Pharmacy Inc located?
- 108 Pharmacy Inc's practice location on file with NPPES is 4502 108th St, Corona, NY 11368-2917.
- What is 108 Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for 108 Pharmacy Inc is (718) 847-1982.
- Who is the authorized official for 108 Pharmacy Inc?
- The authorized official listed on 108 Pharmacy Inc's NPPES record is Roman Badalov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 108 Pharmacy Inc's NPI active?
- Yes — 108 Pharmacy Inc's NPI (1407626070) is active in the NPPES registry as of the last update on 2024-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.