Metro 2014 Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033375 Issued in NY

Legal business name

METRO 2014 PHARMACY, INC

Practice address

172-17 Jamaica Ave
Jamaica, NY 11432

Phone

(718) 523-5800

Fax

(718) 297-4653

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Miss Lada Matatova

Title

President

Phone

(718) 523-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1073907838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172-17 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-523-5800",
            "fax_number": "718-297-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172-17 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-523-5800",
            "fax_number": "718-297-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO 2014 PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MATATOVA",
        "authorized_official_first_name": "LADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-523-5800",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Metro Drugs Inc
• Metro Health Medical P.C. (Metro Med)
• Metro Physical Medicine PC
• Metro Urgent Medical Care of Queens
• Metrocare Medical Supply

• Community/Retail Pharmacy in Jamaica, NY
• Providers in Jamaica, 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 Mar 19, 2015; 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.

Verify at the official NPI Registry.