Punjab RX Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PUNJAB RX PHARMACY INC

Practice address

11218 101St Ave
South Richmond Hill, NY 11419-2256

Phone

(347) 233-4186

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Djamshid Shavkatovich Abdullaev

Title

Owner

Phone

(917) 608-3103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1154188092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11218 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11218 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192256",
            "telephone_number": "347-233-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNJAB RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "ABDULLAEV",
        "authorized_official_first_name": "DJAMSHID",
        "authorized_official_middle_name": "SHAVKATOVICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-608-3103"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishant Prashar
• Preet Pharmacy Inc. (Zara Pharmacy)
• Nordine Presendieu Mondesir
• Prime Medical Care, PC
• PSCH, Inc (Promoting Specialized Care & Health)
• Qlimg Richmond Hill Med Office
• Quantum Labs and Supplies Inc
• Queens General Medical PC
• Quest Medical Lab Inc
• Shahina M. Qureshi, M.D.

• Pharmacy in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.