Organization
MARTIN DRUGS OF RIVERHEAD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRAPRASAD VENIGALLA (PRESIDENT/OWNER)
(347) 528-8893
Entity
Organization
Contact information
Practice address
849 OLD COUNTRY RD, RIVERHEAD, NY 11901-2106
(631) 727-0550
(631) 727-3054
Mailing address
849 OLD COUNTRY RD, RIVERHEAD, NY 11901-2106
(631) 727-0550
(631) 727-3054
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00999440
—
NY
01
—
019246
STATE REGISTRATION
NY
Enumeration date
04/24/2023
Last updated
04/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us