Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Group Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1306941380

Medical Group Pharmacy Inc is a Community/Retail Pharmacy in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

650 Hawkins Ave
Lake Ronkonkoma, NY 11779-2366
Phone: (631) 588-8582
Fax: (631) 588-8599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 017633 (NY)

Record details

NPI number1306941380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Autler — Supervising Pharmacist · (631) 588-8582
NPI enumeratedSeptember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address650 Hawkins Ave, Lake Ronkonkoma, NY 11779-2366

Other providers in Lake Ronkonkoma