Organization Active NPI

Neighborhood Chemists Corp

  • Community/Retail Pharmacy
  • Forest Hills, NY
National Provider Identifier
1093232852
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035652 Issued in NY
Legal business name
NEIGHBORHOOD CHEMISTS CORP
Practice address
10017 Queens Blvd
Forest Hills, NY 11375-2452
Phone
(718) 997-1700
Fax
(718) 997-1701
NPI assigned
Aug 23, 2017
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Mr. ABA Yakubov
Title
Owner
Phone
(718) 997-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 035652 NY Primary

Addresses

Primary practice location

10017 Queens Blvd
Forest Hills, NY 11375-2452

Mailing address

10017 Queens Blvd
Forest Hills, NY 11375-2452
Phone (718) 997-1700

Other identifiers 1

IdentifierTypeStateIssuer
05183826MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180301000318 NY DME Supplier - Pharmacy 3971864240 Practice locations: Forest Hills, NY
O20230317000667 NY Part B Supplier - Pharmacy 3971864240 Practice locations: Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Neighborhood Chemists Corp.10017 Queens Blvd, Forest Hills, NY 11375-2452(718) 997-1700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 8, 2017

National Provider Directory

National Provider Directory

Locations

10017 Queens Blvd
Forest Hills, NY 11375
Phone (718) 997-1700

6602 99th St
Rego Park, NY 11374
Phone (718) 997-1700

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1093232852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10017 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752452",
            "telephone_number": "718-997-1700",
            "fax_number": "718-997-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10017 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752452",
            "telephone_number": "718-997-1700",
            "fax_number": "718-997-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD CHEMISTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-997-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05183826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.