Active NPI
Queens Central Pharmacy Inc
- Community/Retail Pharmacy
- Forest Hills, NY
National Provider Identifier
1053624536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 030171
- Legal business name
- QUEENS CENTRAL PHARMACY INC
- Doing business as
- Queens Central Pharmacy, Inc
- Practice address
- 11608 Queens Blvd
Forest Hills, NY 11375-7055 - Phone
- (718) 268-8060
- Fax
- (718) 268-8070
- NPI assigned
- Jul 26, 2010
- Last updated
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Igor Aronov
- Title
- Owner/Pharmacist
- Phone
- (718) 268-8060
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 030171 | NY | Primary |
Addresses
Primary practice location
11608 Queens Blvd
Forest Hills, NY 11375-7055
Mailing address
11608 Queens Blvd
Forest Hills, NY 11375-7055
Phone (718) 268-8060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126121 | Other | PK | |
| 3268742 | Medicaid | NY |
Other names 1
- Queens Central Pharmacy, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101108000461 | NY | DME Supplier - Pharmacy | 3274728050 | Practice locations: Forest Hills, NY |
| O20171011000001 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274728050 | Practice locations: Forest Hills, NY |
National Provider Directory
National Provider DirectoryLocations
11608 Queens Blvd
Forest Hills, NY 11375
Phone (347) 204-1199
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Forest Hills, NY
- NPI 1609043215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489104000000",
"number": "1053624536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11608 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757055",
"telephone_number": "718-268-8060",
"fax_number": "718-268-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11608 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757055",
"telephone_number": "718-268-8060",
"fax_number": "718-268-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS CENTRAL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2017-03-10",
"status": "A",
"authorized_official_last_name": "ARONOV",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "718-268-8060"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "030171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2126121",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3268742",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Queens Central Pharmacy, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Hills, NY
- Kristina Quan Soon, MD
- Arthur J. Quatrano, PH.D.
- Queens Allergy & Asthma Care PLLC
- Queens Anesthesia Services PLLC
- Queens Atlantic Medical, PLLC
- Queens Community House, Inc.
- Queens Family Medical Health and Wellness, PC
- Queens Hematology Oncology PC
- Queens Medical Imaging, PC
- Queens Medical Imaging, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.