Organization Active NPI

Cricor Holdings, Inc.

Doing business as Sunny Pharmacy

  • Community/Retail Pharmacy
  • Sunnyside, NY
National Provider Identifier
1235264052
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CRICOR HOLDINGS, INC.
Doing business as
Sunny Pharmacy
Practice address
4202 Greenpoint Ave
B
Sunnyside, NY 11104-3004
Phone
(718) 433-3091
Fax
(718) 433-1657
NPI assigned
Feb 22, 2007
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Simon Cricor Dolmaian, RPH
Title
Supervising Pharmacist
Phone
(718) 433-3091

Specialties & licenses 1

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

Addresses

Primary practice location

4202 Greenpoint Ave
B
Sunnyside, NY 11104-3004

Mailing address

4202 Greenpoint Ave
B
Sunnyside, NY 11104-3004
Phone (718) 433-3091

Other identifiers 2

IdentifierTypeStateIssuer
3321145OtherNYNCPDP
02134114MedicaidNY

Other names 1

  • Sunny Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4202 Greenpoint Ave
#B
Sunnyside, NY 11104
Phone (718) 433-3091

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1235264052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 GREENPOINT AVE",
            "address_2": "B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043004",
            "telephone_number": "718-433-3091",
            "fax_number": "718-433-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 GREENPOINT AVE",
            "address_2": "B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111043004",
            "telephone_number": "718-433-3091",
            "fax_number": "718-433-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRICOR HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "DOLMAIAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "CRICOR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-433-3091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3321145",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02134114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.