Organization Active NPI

Our Choice Inc

Doing business as Choice Pharmacy

  • Community/Retail Pharmacy
  • South Richmond Hill, NY
National Provider Identifier
1184961906
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031607 Issued in NY
Legal business name
OUR CHOICE INC
Doing business as
Choice Pharmacy
Practice address
12401 Liberty Ave Ste C
South Richmond Hill, NY 11419-2245
Phone
(718) 845-0200
Fax
(718) 845-5125
NPI assigned
Jan 14, 2013
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Mohammed Khan, B.S.
Title
Director of Pharmacy
Phone
(718) 845-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 031607 NY Primary

Addresses

Primary practice location

12401 Liberty Ave Ste C
South Richmond Hill, NY 11419-2245

Mailing address

12401 Liberty Ave Ste C
South Richmond Hill, NY 11419-2245
Phone (718) 845-0200

Other identifiers 2

IdentifierTypeStateIssuer
03775353MedicaidNY
2138584OtherPK

Other names 1

  • Choice Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131219000836 NY DME Supplier - Pharmacy 8325275316 Practice locations: South Richmond Hill, NY
O20250428000522 NY Part B Supplier - Pharmacy 8325275316 Practice locations: South Richmond Hill, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Our Choice Inc12401 Liberty Ave, South Richmond Hill, NY 11419-2245(718) 845-0200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 30, 2013

National Provider Directory

National Provider Directory

Locations

12401 Liberty Ave
Ste C
South Richmond Hill, NY 11419
Phone (718) 845-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1184961906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 LIBERTY AVE STE C",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192245",
            "telephone_number": "718-845-0200",
            "fax_number": "718-845-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 LIBERTY AVE STE C",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192245",
            "telephone_number": "718-845-0200",
            "fax_number": "718-845-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CHOICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "718-845-0200",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03775353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.