Organization Active NPI

Raja Pharmacy Inc

  • Community/Retail Pharmacy
  • Hollis, NY
National Provider Identifier
1205982634
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
017180 Issued in NY
Legal business name
RAJA PHARMACY INC
Doing business as
ROBINS PHARMACY
Practice address
20414 Hillside Ave
Hollis, NY 11423-2217
Phone
(718) 464-4066
Fax
(718) 468-3232
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Devi Pershad
Title
President
Phone
(718) 464-4066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 017180 NY Primary

Addresses

Primary practice location

20414 Hillside Ave
Hollis, NY 11423-2217

Mailing address

20414 Hillside Ave
Hollis, NY 11423-2217
Phone (718) 464-4066

Other identifiers 2

IdentifierTypeStateIssuer
2061087OtherPK
00612139MedicaidNY

Other names 1

  • ROBINS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1205982634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20414 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232217",
            "telephone_number": "718-464-4066",
            "fax_number": "718-468-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232217",
            "telephone_number": "718-464-4066",
            "fax_number": "718-468-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "PERSHAD",
        "authorized_official_first_name": "DEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-464-4066"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00612139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.