OrganizationActiveAccepts Medicare
Sag Harbor Pharmacy Inc
NPI 1609548650 · Community/Retail Pharmacy · Sag Harbor, NY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1609548650
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tarique Chaudhary, President(631) 899-2526
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
120 Main St
Sag Harbor, NY 11963-3007
Phone: (631) 725-0072
Street-level locationGet directions
Mailing address
Po Box 1050
Sag Harbor, NY 11963-0033
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.