Springfield Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022248 Issued in NY

Legal business name

SPRINGFIELD PHARMACY INC

Doing business as

VILLAGE PHARMACY

Practice address

9037 Springfield Blvd
Queens Village, NY 11428-1352

Phone

(718) 464-4844

Fax

(718) 464-9835

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mahesh PatelNPI 1578604062

Title

President and Majority Holder

Phone

(718) 464-4844

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VILLAGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Mahesh M Patel, PHARMACIST

  • Pharmacist
  • Queens Village, NY
  • NPI 1578604062
  NPD Authorized official
• Manisha M Patel, PHARMACIST

  • Pharmacist
  • Queens Village, NY
  • NPI 1902949779
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1245265768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 37 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281352",
            "telephone_number": "718-464-4844",
            "fax_number": "718-464-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281352",
            "telephone_number": "718-464-4844",
            "fax_number": "718-464-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "PRESIDENT AND MAJORITY HOLDER",
        "authorized_official_telephone_number": "718-464-4844"
    },
    "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": "022248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01545679",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059784",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vedalie Souvenance, NP
• Speaking of Therapy Consultant Services Inc
• Leighton Spence
• Arlene Robin Spiegelman, CCC/SLP
• Spring RX Inc
• Springfield Primary Care, PC
• Suma N/a Sreekumar, RN
• Fritz St Fleur, OTR/L
• Marie St Gerard, LPN
• Kettly St Surin, LPN

• Community/Retail Pharmacy in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.