Organization Active NPI

Queenspharm RX, Corp.

  • Pharmacy
  • Rego Park, NY
National Provider Identifier
1194415232
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
QUEENSPHARM RX, CORP.
Practice address
9601 63Rd Dr
Rego Park, NY 11374
Phone
(347) 730-5115
Fax
(347) 923-3007
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dilafruz Shokirova
Title
Owner
Phone
(347) 730-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

9601 63Rd Dr
Rego Park, NY 11374

Mailing address

9601 63Rd Dr
Rego Park, NY 11374
Phone (347) 730-5115

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230803000766 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0042671364 Practice locations: Rego Park, NY
O20240110002024 NY DME Supplier - Pharmacy 0042671364 Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1194415232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "347-730-5115",
            "fax_number": "347-923-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "347-730-5115",
            "fax_number": "347-923-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSPHARM RX, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "SHOKIROVA",
        "authorized_official_first_name": "DILAFRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-730-5115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.