Organization Active NPI

Astra Pharmacy Corp

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1235222548
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026016 Issued in NY
Legal business name
ASTRA PHARMACY CORP
Doing business as
Astra Pharmacy Corp
Practice address
9415 63Rd Dr
Rego Park, NY 11374-2027
Phone
(718) 275-4847
Fax
(718) 275-4851
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Maya KalontarNPI 1124342464
Title
Supervising Pharmacist
Phone
(718) 275-4847

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026016 NY Primary

Addresses

Primary practice location

9415 63Rd Dr
Rego Park, NY 11374-2027

Mailing address

9415 63Rd Dr
Rego Park, NY 11374-2027
Phone (718) 275-4847

Other identifiers 2

IdentifierTypeStateIssuer
02396243MedicaidNY
3332715OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ASTRA PHARMACY CORP Doing business as

National Provider Directory

National Provider Directory

Locations

9415 63rd Dr
Rego Park, NY 11374
Phone (718) 275-4847

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1235222548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742027",
            "telephone_number": "718-275-4847",
            "fax_number": "718-275-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742027",
            "telephone_number": "718-275-4847",
            "fax_number": "718-275-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "KALONTAR",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-275-4847"
    },
    "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": "026016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02396243",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3332715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASTRA PHARMACY CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 2012; 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.