Emparedado Corona Corp.

Primary specialty

PharmacistTaxonomy code 183500000X

License

027383 Issued in NY

Legal business name

EMPAREDADO CORONA CORP.

Doing business as

Las Americas Pharmacy

Practice address

9205 Roosevelt Ave
Jackson Heights, NY 11372-7941

Phone

(718) 478-7968

Fax

(718) 478-7969

NPI assigned

Jun 20, 2006

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Campon

Title

President

Phone

(718) 478-7968

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Las Americas Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1144266131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727943",
            "telephone_number": "718-478-7968",
            "fax_number": "718-478-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727941",
            "telephone_number": "718-478-7968",
            "fax_number": "718-478-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPAREDADO CORONA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "CAMPON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-478-7968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3347881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Americas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.