Organization Active NPI

Astoria Express Pharmacy Inc

  • Pharmacy
  • Astoria, NY
National Provider Identifier
1174493829
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ASTORIA EXPRESS PHARMACY INC
Practice address
2108 31St St
Astoria, NY 11105-2602
Phone
(718) 255-1085
Fax
(718) 255-1149
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Issam Mansour
Title
Owner
Phone
(646) 533-7562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2108 31St St
Astoria, NY 11105-2602

Mailing address

2108 31St St
Astoria, NY 11105-2602
Phone (718) 255-1085

National Provider Directory

National Provider Directory

Locations

2108 31st St
Astoria, NY 11105
Phone (718) 255-1085

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1174493829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052602",
            "telephone_number": "718-255-1085",
            "fax_number": "718-255-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052602",
            "telephone_number": "718-255-1085",
            "fax_number": "718-255-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-533-7562"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.