Organization Active NPI

Salbardo Drugs, Inc

Doing business as Corona Heights Pharmacy

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1003966821
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SALBARDO DRUGS, INC
Doing business as
Corona Heights Pharmacy
Practice address
10607 Corona Ave
Corona, NY 11368-2906
Phone
(718) 699-5099
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mirvice Ahmad, RPHNPI 1942807532
Title
Owner/ Supervising Pharmacist
Phone
(718) 699-5099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10607 Corona Ave
Corona, NY 11368-2906

Mailing address

10607 Corona Ave
Corona, NY 11368-2906
Phone (718) 699-5099

Other identifiers 1

IdentifierTypeStateIssuer
00340652MedicaidNY

Other names 1

  • Corona Heights Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053105 NY DME Supplier - Pharmacy 5395865778 Practice locations: Corona, NY
O20211112000284 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5395865778 Practice locations: Corona, NY

National Provider Directory

National Provider Directory
Tax ID family
Salbardo Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10607 Corona Ave
Flushing, NY 11368
Phone (718) 685-2388

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1003966821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682906",
            "telephone_number": "718-699-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682906",
            "telephone_number": "718-699-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALBARDO DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MIRVICE",
        "authorized_official_title_or_position": "OWNER/ SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-699-5099",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00340652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Heights Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corona Heights Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.