Paak Pharmacy Inc
NPI 1780052001 · Community/Retail Pharmacy · Patchogue, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paak Pharmacy Inc is a Community/Retail Pharmacy organization in Patchogue, NY (NPI 1780052001).
Provider details
- NPI number
- 1780052001
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rajendraprasad Venigalla, Secretary(347) 528-8893
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- 112 Pharmacy & Surgical
- Doing business as
- 112 Pharmacy & Surgical
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Frequently asked questions
- What is Paak Pharmacy Inc's NPI number?
- Paak Pharmacy Inc's National Provider Identifier (NPI) is 1780052001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paak Pharmacy Inc?
- Paak Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Paak Pharmacy Inc located?
- Paak Pharmacy Inc's practice location on file with NPPES is 689 Medford Ave, Patchogue, NY 11772-1347.
- What is Paak Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Paak Pharmacy Inc is (631) 289-2468.
- Does Paak Pharmacy Inc accept Medicare?
- Paak 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 Paak Pharmacy Inc?
- The authorized official listed on Paak Pharmacy Inc's NPPES record is Rajendraprasad Venigalla, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paak Pharmacy Inc's NPI active?
- Yes — Paak Pharmacy Inc's NPI (1780052001) is active in the NPPES registry as of the last update on 2021-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.