Organization Active NPI

Quest Pharmacy Corp.

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1235599093
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUEST PHARMACY CORP.
Practice address
2115 Surf Ave
Brooklyn, NY 11224-2108
Phone
(718) 266-6111
Fax
(718) 266-2000
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Roman Israilov
Title
President
Phone
(718) 266-6111

Specialties & licenses 1

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

Addresses

Primary practice location

2115 Surf Ave
Brooklyn, NY 11224-2108

Mailing address

2115 Surf Ave
Brooklyn, NY 11224-2108
Phone (718) 266-6111

Other names 1

  • Surf Avenue Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maxwell Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1235599093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242108",
            "telephone_number": "718-266-6111",
            "fax_number": "718-266-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242108",
            "telephone_number": "718-266-6111",
            "fax_number": "718-266-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "ISRAILOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-266-6111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surf Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.