Med Script Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030130 Issued in NY

Legal business name

MED SCRIPT PHARMACY INC

Doing business as

Med Script Pharmacy

Practice address

8342 Parsons Blvd
Jamaica, NY 11432-1642

Phone

(718) 658-9300

Fax

(718) 658-2700

NPI assigned

May 7, 2010

Organization subpart

No

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

Authorized official

Name

Danil Shimonov

Title

Owner

Phone

(718) 658-9300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Med Script Pharmacy Doing business as

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1225356736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8342 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321642",
            "telephone_number": "718-658-9300",
            "fax_number": "718-658-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8342 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321642",
            "telephone_number": "718-658-9300",
            "fax_number": "718-658-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SCRIPT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "SHIMONOV",
        "authorized_official_first_name": "DANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-658-9300"
    },
    "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": "030130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3228228",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5801039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Script Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.