Active NPI
Quality Life Pharmacy Corp
- Long Term Care Pharmacy
- Forest Hills, NY
National Provider Identifier
1235835547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- QUALITY LIFE PHARMACY CORP
- Practice address
- 7168 Yellowstone Blvd
Forest Hills, NY 11375-4115 - Phone
- (718) 544-7182
- Fax
- (718) 544-7199
- NPI assigned
- Feb 7, 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
- Yakov Katanov
- Title
- President
- Phone
- (718) 544-7182
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
7168 Yellowstone Blvd
Forest Hills, NY 11375-4115
Mailing address
7168 Yellowstone Blvd
Forest Hills, NY 11375-4115
Phone (718) 544-7182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04242926 | Medicaid | NY |
Other names 1
- J & D PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- J D Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Forest Hills, NY
- NPI 1629894027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1235835547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7168 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754115",
"telephone_number": "718-544-7182",
"fax_number": "718-544-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7168 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754115",
"telephone_number": "718-544-7182",
"fax_number": "718-544-7199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY LIFE PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "KATANOV",
"authorized_official_first_name": "YAKOV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-544-7182"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04242926",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J & D PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.