MEDICARE: FIVE TOWNS RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1992649271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIVE TOWNS RX INC

Provider Business Mailing Address
First Line	:	136 CEDARHURST AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2130
Country	:	US
Telephone Number	:	516-295-1895
Fax Number	:	516-374-1012

Provider Business Practice Location Address
First Line	:	136 CEDARHURST AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2130
Country	:	US
Telephone Number	:	516-295-1895
Fax Number	:	516-374-1012

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREW LEONARD LEVY
Credential	:
Telephone Number	:	516-295-1895

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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