LSH Express Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030750 Issued in NY

Legal business name

LSH EXPRESS INC

Doing business as

Express Pharmacy

Practice address

9914 63Rd Rd
Rego Park, NY 11374-1940

Phone

(718) 997-7444

Fax

(718) 997-7445

NPI assigned

Jul 20, 2011

Last updated

Dec 13, 2011By 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

Ruben Fatakhov

Title

President

Phone

(718) 997-7444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EXPRESS PHARMACY Doing business as

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1053609354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9914 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741940",
            "telephone_number": "718-997-7444",
            "fax_number": "718-997-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9914 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741940",
            "telephone_number": "718-997-7444",
            "fax_number": "718-997-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSH EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "FATAKHOV",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-997-7444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5802942",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, 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 Dec 13, 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.