Santo Domingo Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

030663 Issued in NY

Legal business name

SANTO DOMINGO PHARMACY, INC

Practice address

7704 Roosevelt Ave
Jackson Heights, NY 11372-6610

Phone

(718) 424-8798

Fax

(718) 205-7168

NPI assigned

May 8, 2011

Last updated

Jan 30, 2012By 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

Janardan Soni

Title

Owner/President

Phone

(848) 667-3335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1043502164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726610",
            "telephone_number": "718-424-8798",
            "fax_number": "718-205-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726610",
            "telephone_number": "718-424-8798",
            "fax_number": "718-205-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO DOMINGO PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-08",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "JANARDAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "848-667-3335"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03397486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.