Identid Corp

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

IDENTID CORP

Practice address

2202 46TH Street
Suite 1028
Astoria, NY 11105

Phone

(888) 383-8839

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Helen Halchuk, RPHNPI 1811764186

Title

Supervising Pharmacist

Phone

(347) 397-8180

Specialties & licenses 1

Addresses

Practitioners 2

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

• Helen Elizabeth Halchuk, RPH

  • Ambulatory Care Pharmacist
  • Astoria, NY
  • NPI 1811764186
  NPD Authorized official
• Alexander Edward Schaal, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
  • NPI 1336609569
  NPD (past)

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1194592360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 DITMARS BLVD STE 1028",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051319",
            "telephone_number": "888-383-8839",
            "fax_number": "888-383-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 46TH STREET",
            "address_2": "SUITE 1028",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "888-383-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTID CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "HALCHUK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-397-8180",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mail Order Pharmacy in Astoria, NY
• Providers in Astoria, NY by specialty
• Mail Order Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.