Paak Pharmacy Inc
Paak Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Patchogue, NY, holding Type 2 (organization) NPI 1780052001 since 2015. The authorized official on file is Rajendraprasad Venigalla, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780052001 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Paak Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 689 MEDFORD AVE, Patchogue, NY, 11772 |
| Phone | 6312892468 |
| Fax | 6313079360 |
| Enumeration date | 2015-09-03 |
| Last updated in NPPES | 2021-01-27 |
Authorized official
| Name | Rajendraprasad Venigalla |
|---|---|
| Title | Secretary |
| Phone | 3475288893 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 033702 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04601929 | Medicaid | NY | — |
| 2153923 | Other | — | PK |
Copy-ready billing details
Provider: Paak Pharmacy Inc NPI: 1780052001 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 689 MEDFORD AVE, Patchogue, NY, 11772
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679025456 | Paulitha Pasala | Individual | Pharmacist | Patchogue, NY |
| 1609355874 | Joanna Haff | Individual | Pharmacist | East Patchogue, NY |
Verify this record
Cross-check NPI 1780052001 against the authoritative CMS record: view Paak Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Paak Pharmacy Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-27.