108 Pharmacy Inc
NPI 1962163980 · Community/Retail Pharmacy · Corona, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
108 Pharmacy Inc is a Community/Retail Pharmacy organization in Corona, NY (NPI 1962163980).
Provider details
- NPI number
- 1962163980
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Roman Badalov, Owner(718) 847-1982
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2022-01-02
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Frequently asked questions
- What is 108 Pharmacy Inc's NPI number?
- 108 Pharmacy Inc's National Provider Identifier (NPI) is 1962163980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 108 Pharmacy Inc?
- 108 Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 108 Pharmacy Inc located?
- 108 Pharmacy Inc's practice location on file with NPPES is 4502 108th St, Corona, NY 11368-2917.
- What is 108 Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for 108 Pharmacy Inc is (718) 450-2108.
- Does 108 Pharmacy Inc accept Medicare?
- 108 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 108 Pharmacy Inc?
- The authorized official listed on 108 Pharmacy Inc's NPPES record is Roman Badalov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 108 Pharmacy Inc's NPI active?
- Yes — 108 Pharmacy Inc's NPI (1962163980) is active in the NPPES registry as of the last update on 2023-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.