Newmoonpharmacy Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

17032657 Issued in NY

Legal business name

NEWMOONPHARMACY INC

Practice address

109-14 Liberty Avenue
109-14 Librerty Avenue
Richmond Hill, NY 11419

Phone

(718) 738-0302

Fax

(718) 738-0303

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Harris Hussnain, MASTER

Title

President

Phone

(718) 738-0302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1013336700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10914 LIBERTY AVE",
            "address_2": "109-14 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191704",
            "telephone_number": "718-738-0302",
            "fax_number": "718-738-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109-14 LIBERTY AVENUE",
            "address_2": "109-14 LIBRERTY AVENUE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-738-0302",
            "fax_number": "718-738-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMOONPHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "HUSSNAIN",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-738-0302",
        "authorized_official_credential": "MASTER"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "17032657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oleg Nektalov, D.D.S.
• New Moon Pharmacy
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• New York Health Services Inc
• Nextstep Healing, Inc
• Justin Nguyen
• Sepideh Niknam-Razi, DDS
• Arman Niknamfard, D.D.S
• Amisha Nimawat

• Point of Service in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.