NPIMap

Organization Active NPI

99-24 65Rd

  • Pharmacy
  • Rego Park, NY
National Provider Identifier
1225310923
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
20056294 Issued in NY
Legal business name
99-24 65RD
Practice address
9924 65TH Rd
Rego Park, NY 11374-3655
Phone
(646) 785-5074
NPI assigned
Sep 19, 2011
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Miss Mazol FatakhovaNPI 1861804494
Title
Pharmacist
Phone
64678550774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 20056294 NY Primary

Addresses

Primary practice location

9924 65TH Rd
Rego Park, NY 11374-3655

Mailing address

9924 65TH Rd
Rego Park, NY 11374-3655
Phone (646) 785-5074

Other names 1

  • mazol fatakhova Other name

National Provider Directory

National Provider Directory
Tax ID family
LTC Solutions119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

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": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1225310923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 65TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743655",
            "telephone_number": "646-785-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 65TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743655",
            "telephone_number": "646-785-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "99-24 65RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "FATAKHOVA",
        "authorized_official_first_name": "MAZOL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "64678550774",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "20056294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mazol fatakhova",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 19, 2011; 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.