Active NPI
Serenity Pharmacy Inc
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1003527136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SERENITY PHARMACY INC
- Practice address
- 7307 Main St
Flushing, NY 11367-2409 - Phone
- (718) 880-2441
- NPI assigned
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Isakharova
- Title
- Owner
- Phone
- (718) 880-2441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
7307 Main St
Flushing, NY 11367-2409
Mailing address
7307 Main St
Flushing, NY 11367-2409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230426001127 | NY | Part B Supplier - Pharmacy | 4183089162 | Practice locations: Flushing, NY |
| O20230912002895 | NY | DME Supplier - Pharmacy | 4183089162 | Practice locations: Flushing, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Serenity Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flushing, NY
- NPI 1215744370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1003527136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113672409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113672409",
"telephone_number": "718-880-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "ISAKHAROVA",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-880-2441"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.