Organization Active NPI

Dhaka Pharmacy Inc

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1114283512
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031253 Issued in NY
Legal business name
DHAKA PHARMACY INC
Practice address
4026 75TH St
Elmhurst, NY 11373-1012
Phone
(718) 426-4727
Fax
(718) 426-4729
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mahmud HossainNPI 1164679171
Title
Supervising Pharmacist
Phone
(718) 426-4727

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031253 NY Primary

Addresses

Primary practice location

4026 75TH St
Elmhurst, NY 11373-1012

Mailing address

4026 75TH St
Elmhurst, NY 11373-1012
Phone (718) 426-4727

Other identifiers 1

IdentifierTypeStateIssuer
5804972OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BROADWAY CORNER Doing business as

National Provider Directory

National Provider Directory

Locations

4026 75th St
Elmhurst, NY 11373
Phone (718) 426-4727

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": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1114283512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731012",
            "telephone_number": "718-426-4727",
            "fax_number": "718-426-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731012",
            "telephone_number": "718-426-4727",
            "fax_number": "718-426-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHAKA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "MAHMUD",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-426-4727"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5804972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY CORNER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.