Active NPI
Amin Pharmacy Inc
- Community/Retail Pharmacy
- Long Island City, NY
National Provider Identifier
1104096213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028775
- Legal business name
- AMIN PHARMACY INC
- Practice address
- 29 03 36TH Ave
Long Island City, NY 11106 - Phone
- (718) 786-6611
- Fax
- (718) 786-6613
- NPI assigned
- Mar 4, 2008
- 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
- Monsur Chowdhury
- Title
- President
- Phone
- (718) 786-6611
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 028775 | NY | Primary |
Addresses
Primary practice location
29 03 36TH Ave
Long Island City, NY 11106
Mailing address
29 03 36TH Ave
Long Island City, NY 11106
Phone (718) 786-6611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2952385 | Medicaid | NY | |
| 2070146 | Other | PK |
Other names 1
- AMIN PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099851 | NY | DME Supplier - Pharmacy | 4587860614 | Practice locations: Long Island City, NY |
| O20251104000034 | NY | Part B Supplier - Pharmacy | 4587860614 | Practice locations: Long Island City, NY |
National Provider Directory
National Provider DirectoryLocations
2903 36th Ave
Long Island City, NY 11106
Phone (718) 786-6611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Long Island City, NY
- NPI 1376713263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419552000000",
"number": "1104096213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 03 36TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11106",
"telephone_number": "718-786-6611",
"fax_number": "718-786-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 03 36TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11106",
"telephone_number": "718-786-6611",
"fax_number": "718-786-6613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-04",
"last_updated": "2014-12-26",
"status": "A",
"authorized_official_last_name": "CHOWDHURY",
"authorized_official_first_name": "MONSUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-786-6611"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "028775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2952385",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2070146",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AMIN PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.