Organization Active NPI

Pharmachoice Pharmacy 2 Inc.

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1225490360
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034819 Issued in NY
Legal business name
PHARMACHOICE PHARMACY 2 INC.
Practice address
2509 30TH Ave
Astoria, NY 11102-3587
Phone
(347) 639-0007
Fax
(347) 639-0125
NPI assigned
Mar 28, 2016
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Misada Mansour
Title
Owner
Phone
(347) 639-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 034819 NY Primary

Addresses

Primary practice location

2509 30TH Ave
Astoria, NY 11102-3587

Mailing address

2509 30TH Ave
Astoria, NY 11102-3587
Phone (347) 639-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171120003294 NY DME Supplier - Pharmacy 8921365370 Practice locations: Astoria, NY
O20180228000938 NY Part B Supplier - Pharmacy 8921365370 Practice locations: Astoria, 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
Pharmachoice Pharmacy 2 Inc2509 30TH Ave, Astoria, NY 11102-3587(347) 639-0007 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 9, 2016

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1225490360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023587",
            "telephone_number": "347-639-0007",
            "fax_number": "347-639-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023587",
            "telephone_number": "347-639-0007",
            "fax_number": "347-639-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACHOICE PHARMACY 2 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MISADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-639-0007"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.