Organization Active NPI

Queens Midnight Pharmacy Inc

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1235675190
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023598 Issued in NY
Legal business name
QUEENS MIDNIGHT PHARMACY INC
Practice address
10426 Roosevelt Ave
Corona, NY 11368-2328
Phone
(718) 533-0991
Fax
(718) 205-8340
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Alex Kochanoff
Title
Pharmacist
Phone
(718) 533-0991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 023598 NY Primary

Addresses

Primary practice location

10426 Roosevelt Ave
Corona, NY 11368-2328

Mailing address

10426 Roosevelt Ave
Corona, NY 11368-2328
Phone (718) 533-0991

Other identifiers 1

IdentifierTypeStateIssuer
2167932OtherPK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1235675190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-533-0991",
            "fax_number": "718-205-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-533-0991",
            "fax_number": "718-205-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MIDNIGHT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "KOCHANOFF",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-533-0991"
    },
    "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": "023598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.