Laguardia Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032234 Issued in NY

Legal business name

LAGUARDIA PHARMACY INC.

Doing business as

La guardia pharmacy

Practice address

10122 Astoria Blvd
East Elmhurst, NY 11369-2059

Phone

(718) 478-2576

Fax

(718) 478-2142

NPI assigned

Oct 4, 2013

Organization subpart

No

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

Authorized official

Name

Shahnawaz Khan

Title

Supervisor

Phone

(718) 478-2576

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• La guardia pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These 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

Locations

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1013344001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 ASTORIA BLVD",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692059",
            "telephone_number": "718-478-2576",
            "fax_number": "718-478-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 ASTORIA BLVD",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692059",
            "telephone_number": "718-478-2576",
            "fax_number": "718-478-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUARDIA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHNAWAZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "718-478-2576"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032234",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03999328",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La guardia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La guardia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Kranjac, R.PH.
• Danielle Rose Krieger, DPT
• Elin S. Kropp, M.D.
• Preethi P Kumar, PHARMD
• Paramjit Kumari, M.S.ED.
• Sonam Dolma Lama
• Melissa Lambert
• Alexis F Lang, M.D.
• Desiree Laracuente, D.M.D.
• Nina Beatriz Laracuente, D.M.D.

• Community/Retail Pharmacy in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.

Verify at the official NPI Registry.