Mazal Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAZAL PHARMACY, INC

Doing business as

Mirage Pharmacy

Practice address

7144 Main St
Flushing, NY 11367-2023

Phone

(718) 487-3050

Fax

(718) 487-3531

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Solomon Moses

Title

President

Phone

(718) 487-3050

Specialties & licenses 2

Addresses

Other names 1

• MIRAGE 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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1023773421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7144 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672023",
            "telephone_number": "718-487-3050",
            "fax_number": "718-487-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7144 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672023",
            "telephone_number": "718-487-3050",
            "fax_number": "718-487-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZAL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-487-3050"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• May NG
• Carol May, REGISTERED NURSE
• Walter Maybruch, DDS
• Jonathan Agustin Mayer
• Rosalind Rosetta Mayers, REGISTERED NURSE
• Mazara Early Impact LLC
• Samadhi Mazara
• Mazel Adult Day Care
• Steven Mazer, DPM
• Bianna M Mazler

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, 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, 2021; 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.