NPIMap

Organization Active NPI

Ethan Drug Corp

  • Long Term Care Pharmacy
  • Floral Park, NY
National Provider Identifier
1093311219
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ETHAN DRUG CORP
Practice address
27268 Grand Central Pkwy
Floral Park, NY 11005-1342
Phone
(718) 631-9300
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Kousha Askari
Title
Owner
Phone
(718) 631-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

27268 Grand Central Pkwy
Floral Park, NY 11005-1342

Mailing address

27268 Grand Central Pkwy
Floral Park, NY 11005-1342
Phone (718) 631-9300

National Provider Directory

National Provider Directory
Tax ID family
Ethan 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.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1093311219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27268 GRAND CENTRAL PKWY",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110051342",
            "telephone_number": "718-631-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27268 GRAND CENTRAL PKWY",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110051342",
            "telephone_number": "718-631-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "ASKARI",
        "authorized_official_first_name": "KOUSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-631-9300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.