Mariya Rackman, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

052782 Issued in NY

Practice address

19718 Hillside Ave
Hollis, NY 11423-2127

Phone

(718) 464-2400

NPI assigned

Mar 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prescription and Vitamin Warehouse Inc.

  • Pharmacy
  • Jamaica, NY
  • NPI 1275525081
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1063735462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18804 64TH AVE APT 11D",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653892",
            "telephone_number": "718-454-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19718 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232127",
            "telephone_number": "718-464-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKMAN",
        "first_name": "MARIYA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052782",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA-18365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• QPH, Inc
• Queens Lifestyle Changes
• Queens Psychiatric Services PLLC
• Quick Pharmacy Inc.
• Masood Ahmed Qureshi
• Shaneeza Rahim, MS.ED/TSHH
• Abir Rahman
• Kulsuma Rahman
• Mohammad Rahman, MD
• Raja Pharmacy Inc

• Pharmacist in Hollis, NY
• Providers in Hollis, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.