Organization Active NPI

Cambria Pharmacy LLC

  • Community/Retail Pharmacy
  • Cambria Heights, NY
National Provider Identifier
1033928411
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAMBRIA PHARMACY LLC
Practice address
22404 Linden Blvd
Cambria Heights, NY 11411-1739
Phone
(718) 470-2599
Fax
(718) 470-2590
NPI assigned
Dec 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Marie Carmelle Sanon
Title
President
Phone
(718) 470-2599

Specialties & licenses 1

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

Addresses

Primary practice location

22404 Linden Blvd
Cambria Heights, NY 11411-1739

Mailing address

22404 Linden Blvd
Cambria Heights, NY 11411-1739
Phone (718) 470-2599

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250522000278 NY Part B Supplier - Pharmacy 7719406867 Practice locations: Cambria Heights, NY
O20250709003293 NY DME Supplier - Pharmacy 7719406867 Practice locations: Cambria Heights, 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
Cambria Pharmacy LLC22404 Linden Blvd, Cambria Heights, NY 11411-1739(718) 470-2599 Nebulizer Drugs Accepts assignmentParticipating since Apr 9, 2025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1033928411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22404 LINDEN BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111739",
            "telephone_number": "718-470-2599",
            "fax_number": "718-470-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22404 LINDEN BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111739",
            "telephone_number": "718-470-2599",
            "fax_number": "718-470-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SANON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "CARMELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-470-2599"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.