Active NPI
Queenspharm RX, Corp.
- Pharmacy
- Rego Park, NY
National Provider Identifier
1194415232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.