Organization Active NPI

Rockaway RX Inc

Doing business as Sam Korf Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1205914272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027245 Issued in NY
Legal business name
ROCKAWAY RX INC
Doing business as
Sam Korf Pharmacy
Practice address
710 Rockaway Avenue
Brooklyn, NY 11212-5456
Phone
(718) 498-3941
Fax
(718) 922-5642
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ghulam Sabir
Title
President
Phone
(718) 498-3941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 027245 NY Primary

Addresses

Primary practice location

710 Rockaway Avenue
Brooklyn, NY 11212-5456

Mailing address

9238 Silver Road
Ozone Park, NY 11417-2442
Phone (646) 387-5638

Other identifiers 1

IdentifierTypeStateIssuer
02621507MedicaidNY

Other names 1

  • Sam Korf 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
O20100930060441 NY DME Supplier - Pharmacy 1153532908 Practice locations: Brooklyn, NY
O20250627001012 NY Part B Supplier - Pharmacy 1153532908 Practice locations: Brooklyn, 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
Rockaway RX Inc710 Rockaway Ave, Brooklyn, NY 11212-5456(718) 498-3941 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 2, 2005

National Provider Directory

National Provider Directory

Locations

710 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 498-3941

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205914272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9238 SILVER ROAD",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172442",
            "telephone_number": "646-387-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ROCKAWAY AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125456",
            "telephone_number": "718-498-3941",
            "fax_number": "718-922-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABIR",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-498-3941"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02621507",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Korf Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.