OrganizationActiveAccepts Medicare
Lake Success Rx Corp
NPI 1508526328 · Community/Retail Pharmacy · New Hyde Park, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1508526328
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stanislav Zavulunov, President(516) 502-4170
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1566a Union Tpke
New Hyde Park, NY 11040-1762
Phone: (516) 502-4170
Fax: (516) 502-4168
Street-level locationGet directions
Mailing address
1566a Union Tpke
New Hyde Park, NY 11040-1762
Other names (DBA / former)
- Doing business as
- Pharmaconic
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.