DJ Drug Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025159 Issued in NY

Legal business name

DJ DRUG CORP.

Practice address

6365 108TH St
Forest Hills, NY 11375-1604

Phone

(718) 275-6555

Fax

(718) 228-8815

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

David SaidovNPI 1275855561

Title

VP

Phone

(718) 275-6555

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FOREST HILLS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

DJ Drug Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DJ Drug Corp.

  • Long Term Care Pharmacy
  • Forest Hills, NY
  • NPI 1396589149
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Saidov

  • Pharmacist
  • Forest Hills, NY
  • NPI 1275855561
  NPD Authorized official
• Joseph Akilov, RPH

  • Pharmacist
  • Forest Hills, NY
  • NPI 1376866517
  NPD (past)
• Pietro Scardino

  • Pharmacist
  • Forest Hills, NY
  • NPI 1669796603
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1083656540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 108TH STREET",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751604",
            "telephone_number": "718-275-6555",
            "fax_number": "718-228-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751604",
            "telephone_number": "718-275-6555",
            "fax_number": "718-228-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ DRUG CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "SAIDOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "718-275-6555"
    },
    "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": "025159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02182378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOREST HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Forest Hills, NY
• Providers in Forest Hills, 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 Oct 8, 2021; 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.