Lumen Pharmacy Inc
NPI 1558195024 · Community/Retail Pharmacy · Ridgewood, NY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lumen Pharmacy Inc is a Community/Retail Pharmacy organization in Ridgewood, NY (NPI 1558195024).
Provider details
- NPI number
- 1558195024
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Marwan Awadalla, Supervising Pharmacist / Owner(718) 310-6120
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- Lumenrx
- Doing business as
- Lumenrx
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Lumen Pharmacy Inc's NPI number?
- Lumen Pharmacy Inc's National Provider Identifier (NPI) is 1558195024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lumen Pharmacy Inc?
- Lumen Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lumen Pharmacy Inc located?
- Lumen Pharmacy Inc's practice location on file with NPPES is 6242 Forest Ave, Ridgewood, NY 11385-1929.
- What is Lumen Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Lumen Pharmacy Inc is (718) 310-6120.
- Does Lumen Pharmacy Inc accept Medicare?
- Lumen Pharmacy 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 Lumen Pharmacy Inc?
- The authorized official listed on Lumen Pharmacy Inc's NPPES record is Marwan Awadalla, Supervising Pharmacist / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lumen Pharmacy Inc's NPI active?
- Yes — Lumen Pharmacy Inc's NPI (1558195024) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.