Organization Active NPI

Park Health Pharmacy Inc

  • Pharmacist
  • South Ozone Park, NY
National Provider Identifier
1093856866
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046310 Issued in NY
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

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Mrs. Preetha Varghese, PHARMACYNPI 1417403155
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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01813345MedicaidNY

Other names 1

  • parkhealth pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.