Astoria Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021456 Issued in NY

Legal business name

ASTORIA PHARMACY INC

Doing business as

Hillside Astoria Pharmacy

Practice address

14805 Hillside Ave
Jamaica, NY 11435-3330

Phone

(718) 278-3772

Fax

(718) 278-2716

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Shahab Ahmed, RP.H

Title

Presidnet

Phone

(718) 278-3772

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillside Astoria Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1114942968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "718-278-3772",
            "fax_number": "718-278-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "718-278-3772",
            "fax_number": "718-278-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "718-278-3772",
        "authorized_official_credential": "RP.H"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01404200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Astoria Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ernest Ast, MD
• Stevens Asuncion, LMSW
• Margaret Atenaga
• Shiny Athimattathi, PARM.D
• Kulitumi Atitebi, LPN
• Jacqueline Maria Atkinson

• Community/Retail Pharmacy in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.