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

Paak Pharmacy Inc

Organization Pharmacy · NPI 1780052001

Paak Pharmacy Inc is a Pharmacy in Patchogue, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

689 Medford Ave
Patchogue, NY 11772-1347
Phone: (631) 289-2468
Fax: (631) 307-9360
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 033702 (NY)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1780052001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajendraprasad Venigalla — Secretary · (347) 528-8893
Other names 112 Pharmacy & Surgical; 112 Pharmacy & Surgical
NPI enumeratedSeptember 3, 2015
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address689 Medford Ave, Patchogue, NY 11772-1347

Other providers in Patchogue