Peace Love Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PEACE LOVE PHARMACY, INC.

Practice address

6352 Woodhaven Blvd
Rego Park, NY 11374

Phone

(718) 651-1000

Fax

(718) 476-3776

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Anastasiya Kim

Title

President

Phone

(718) 651-1000

Specialties & licenses 1

Addresses

Other names 1

• Peace Love Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1215425913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742856",
            "telephone_number": "718-651-1000",
            "fax_number": "718-476-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-651-1000",
            "fax_number": "718-476-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE LOVE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANASTASIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-651-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Love Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zalak Patel, M.D.
• Francesca Patino, LMSW
• Patish DPM PC
• Tasveer M Patwa, P.T.
• Paul Koslow, DPM
• Josephine E Pedron-Santiago, M.D.
• Dmitry Pekarsky, M.D.
• Marisol A Pellecier Rivera, LMSW
• Maria Elena Pena, M.D.
• Brandy Sharese Pendergrass

• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Community/Retail Pharmacy in New York

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