Woodhaven Blvd. Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

021789 Issued in NY

Legal business name

WOODHAVEN BLVD. PHARMACY

Practice address

6222 Woodhaven Blvd
Rego Park, NY 11374-2745

Phone

(718) 478-4600

Fax

(718) 478-7731

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Norman HansmanNPI 1639228133

Title

Pharmacist

Phone

(718) 478-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Norman Hansman

  • Pharmacist
  • Rego Park, NY
  • NPI 1639228133
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1043360506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742745",
            "telephone_number": "718-478-4600",
            "fax_number": "718-478-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742745",
            "telephone_number": "718-478-4600",
            "fax_number": "718-478-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN BLVD. PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "HANSMAN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-478-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "021789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "021789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.