Organization Active NPI

Hollis Star Drug Corp

  • Community/Retail Pharmacy
  • Saint Albans, NY
National Provider Identifier
1043056450
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOLLIS STAR DRUG CORP
Practice address
20415 Hollis Ave
Saint Albans, NY 11412-1807
Phone
(718) 413-5021
Fax
(718) 413-5117
NPI assigned
Jul 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Authorized official

Name
Sharmila ChhuganiNPI 1376866871
Title
Supervising Pharmacist
Phone
(718) 413-5021

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 Primary

Addresses

Primary practice location

20415 Hollis Ave
Saint Albans, NY 11412-1807

Mailing address

20415 Hollis Ave
Saint Albans, NY 11412-1807
Phone (718) 413-5021

Other names 1

  • ACE PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240828002416 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5193264679 Practice locations: Saint Albans, NY
O20250313003122 NY DME Supplier - Pharmacy 5193264679 Practice locations: Saint Albans, 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
Hollis Star Drug Corp20415 Hollis Ave, Saint Albans, NY 11412-1807(718) 413-5021 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 17, 2024

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": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1043056450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20415 HOLLIS AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121807",
            "telephone_number": "718-413-5021",
            "fax_number": "718-413-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20415 HOLLIS AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121807",
            "telephone_number": "718-413-5021",
            "fax_number": "718-413-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS STAR DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "CHHUGANI",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-413-5021"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.