Organization Active NPI

Woodside Corner RX Inc

  • Community/Retail Pharmacy
  • Woodside, NY
National Provider Identifier
1154266880
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WOODSIDE CORNER RX INC
Practice address
5112 31St Ave
Woodside, NY 11377-1335
Phone
(718) 255-1466
Fax
(718) 255-1465
NPI assigned
Apr 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Roza Badalova
Title
Owner
Phone
(718) 255-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5112 31St Ave
Woodside, NY 11377-1335

Mailing address

5112 31St Ave
Woodside, NY 11377-1335
Phone (718) 255-1466

National Provider Directory

National Provider Directory

Locations

5112 31st Ave
Woodside, NY 11377
Phone (718) 255-1466

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1154266880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 31ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771335",
            "telephone_number": "718-255-1466",
            "fax_number": "718-255-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 31ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771335",
            "telephone_number": "718-255-1466",
            "fax_number": "718-255-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE CORNER RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "BADALOVA",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-255-1466"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.