NPIMap

Organization Active NPI

Far Rockaway Drugs Inc

Doing business as Ocean Park Drugs

  • Community/Retail Pharmacy
  • Far Rockaway, NY
National Provider Identifier
1124073978
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027366 Issued in NY
Legal business name
FAR ROCKAWAY DRUGS INC
Doing business as
Ocean Park Drugs
Practice address
17 27 Seagirt Blvd
Far Rockaway, NY 11691
Phone
(718) 471-2500
Fax
(718) 471-0840
NPI assigned
May 23, 2006
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Steven BlickNPI 1528390465
Title
Phcy Supervisor
Phone
(718) 471-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 027366 NY Primary

Addresses

Primary practice location

17 27 Seagirt Blvd
Far Rockaway, NY 11691

Mailing address

17 27 Seagirt Blvd
Far Rockaway, NY 11691
Phone (718) 471-2500

Other names 1

  • OCEAN PARK DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930020706 NY DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 3971704636 Practice locations: Far Rockaway, NY
O20210211001876 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3971704636 Practice locations: Far Rockaway, NY

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • 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.