Organization Active NPI

Rockway Community Pharmacy Inc

  • Community/Retail Pharmacy
  • Sunnyside, NY
National Provider Identifier
1013354364
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17-031971 Issued in NY
Legal business name
ROCKWAY COMMUNITY PHARMACY INC
Practice address
4320 43Rd Ave
Sunnyside, NY 11104-2212
Phone
(718) 937-0890
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Abdul SiddiquiNPI 1942524111
Title
President
Phone
(516) 225-1252

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 17-031971 NY Primary

Addresses

Primary practice location

4320 43Rd Ave
Sunnyside, NY 11104-2212

Mailing address

75 Hillside LN
New Hyde Park, NY 11040-2505

Other identifiers 1

IdentifierTypeStateIssuer
17-031971OtherNYSTATE LICENSE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140103000636 NY Part B Supplier - Pharmacy 0840428421 Practice locations: Sunnyside, NY
O20260106000491 NY DME Supplier - Pharmacy 0840428421 Practice locations: Sunnyside, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Rockway Community Pharmacy Inc4320 43Rd Ave, Sunnyside, NY 11104-2212(718) 937-0890 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 6, 2013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1013354364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HILLSIDE LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 43RD AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042212",
            "telephone_number": "718-937-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWAY COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-225-1252"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "17-031971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17-031971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.