OrganizationActive
Pharmacy 112 Inc.
NPI 1598186595 · Pharmacy · Medford, NY
Pharmacy 112 Inc. is a Pharmacy organization in Medford, NY (NPI 1598186595).
Provider details
- NPI number
- 1598186595
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Crystal Koller, Coo(631) 475-4141
- License
- 032401 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2608 Route 112 # B
Medford, NY 11763-2551
Phone: (631) 438-0530
Street-level locationGet directions
Mailing address
2608 Route 112
Medford, NY 11763-2551
Registry dates
- Enumerated
- 2013-12-18
- Last updated
- 2015-10-27
Frequently asked questions
- What is Pharmacy 112 Inc.'s NPI number?
- Pharmacy 112 Inc.'s National Provider Identifier (NPI) is 1598186595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pharmacy 112 Inc.?
- Pharmacy 112 Inc. is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Pharmacy 112 Inc. located?
- Pharmacy 112 Inc.'s practice location on file with NPPES is 2608 Route 112 # B, Medford, NY 11763-2551.
- What is Pharmacy 112 Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pharmacy 112 Inc. is (631) 438-0530.
- Who is the authorized official for Pharmacy 112 Inc.?
- The authorized official listed on Pharmacy 112 Inc.'s NPPES record is Crystal Koller, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pharmacy 112 Inc.'s NPI active?
- Yes — Pharmacy 112 Inc.'s NPI (1598186595) is active in the NPPES registry as of the last update on 2015-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.