Active NPI
Park Health Pharmacy Inc
- Pharmacist
- South Ozone Park, NY
National Provider Identifier
1093856866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046310
- Legal business name
- PARK HEALTH PHARMACY INC
- Practice address
- 13124 Rockaway Blvd
South Ozone Park, NY 11420-2932 - Phone
- (718) 322-3261
- Fax
- (718) 322-3261
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Preetha Varghese, PHARMACY
- Title
- Pharmacist
- Phone
- (718) 322-3261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046310 | NY | Primary |
Addresses
Primary practice location
13124 Rockaway Blvd
South Ozone Park, NY 11420-2932
Mailing address
13124 Rockaway Blvd
South Ozone Park, NY 11420-2932
Phone (718) 322-3261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01813345 | Medicaid | NY |
Other names 1
- parkhealth pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New Hyde Park, NY
- NPI 1417403155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512604800000",
"number": "1093856866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13124 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202932",
"telephone_number": "718-322-3261",
"fax_number": "718-322-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13124 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202932",
"telephone_number": "718-322-3261",
"fax_number": "718-322-3261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK HEALTH PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2017-12-07",
"status": "A",
"authorized_official_last_name": "VARGHESE",
"authorized_official_first_name": "PREETHA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "718-322-3261",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMACY"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "046310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01813345",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "parkhealth pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.