Organization Active NPI

Adinas Pharmacy Inc

  • Community/Retail Pharmacy
  • Briarwood, NY
National Provider Identifier
1174824353
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030437 Issued in NY
Legal business name
ADINAS PHARMACY INC
Practice address
13819 Queens Blvd
Briarwood, NY 11435-2641
Phone
(718) 739-9700
Fax
(718) 739-9777
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Boris Isakov
Title
Director
Phone
(718) 739-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 030437 NY Primary

Addresses

Primary practice location

13819 Queens Blvd
Briarwood, NY 11435-2641

Mailing address

13819 Queens Blvd
Briarwood, NY 11435-2641
Phone (718) 739-9700

Other identifiers 1

IdentifierTypeStateIssuer
5801394OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Adina's Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1174824353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13819 QUEENS BLVD",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-739-9700",
            "fax_number": "718-739-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13819 QUEENS BLVD",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-739-9700",
            "fax_number": "718-739-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADINAS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-739-9700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adina's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.