Active NPI
Pharmachoice Pharmacy 2 Inc.
- Community/Retail Pharmacy
- Astoria, NY
National Provider Identifier
1225490360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 034819
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmachoice Pharmacy 2 Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Steinway Street Pharmacy
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1891045126
Member Of
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.