Far Rockaway Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027366 Issued in NY

Legal business name

FAR ROCKAWAY DRUGS INC

Practice address

17 27 Seagirt Blvd
Far Rockaway, NY 11691

Phone

(718) 471-2500

Fax

(718) 471-0840

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Steven Blick

Title

Phcy Supervisor

Phone

(718) 471-2500

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• OCEAN PARK DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 1

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

• Russell Shvartsshteyn, P.T.

  • Physical Therapist
  • Hewlett, NY
  • NPI 1508068107
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1124073978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 27 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-471-2500",
            "fax_number": "718-471-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 27 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-471-2500",
            "fax_number": "718-471-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR ROCKAWAY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHCY SUPERVISOR",
        "authorized_official_telephone_number": "718-471-2500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED SERVICES LABORATORY REGISTRATION",
            "identifier": "33D2204084",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2664611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCEAN PARK DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCEAN PARK DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florence M Eyenga Akono Nsom, MD
• Delina Lila Fajardo, RPA-C
• Tiara Familia
• Family Pediatric
• Olawumi Teju Famojuro
• Far Rockaway Drugs Inc.
• Far Rockaway Medical PC
• Far Rockaway Medical PC
• Far Rockaway Orthodontics, PC
• Far Rockaway Pharmacy Corp

• All providers in Far Rockaway, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.

Verify at the official NPI Registry.