Cort Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

019907 Issued in NY

Legal business name

CORT PHARMACY INC

Doing business as

CORT PHARMACY INC

Practice address

6425 108TH St
Forest Hills, NY 11375-1603

Phone

(718) 897-2569

Fax

(718) 897-2570

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

George BliksteinNPI 1194974774

Title

VP

Phone

(718) 897-2569

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CORT PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• George Blikstein, PHARMACIST

  • Pharmacist
  • Forest Hills, NY
  • NPI 1194974774
  NPD Authorized official
• Albert Achildiyev

  • Pharmacist
  • Forest Hills, NY
  • NPI 1740845098
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1255342812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751603",
            "telephone_number": "718-897-2569",
            "fax_number": "718-897-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751603",
            "telephone_number": "718-897-2569",
            "fax_number": "718-897-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "BLIKSTEIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "718-897-2569"
    },
    "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": "019907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065461",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01079950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORT PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydnie Taylar Corcoran, RN
• Krysmer Cordero
• Dennis Cruz Cordovez, DPT, PT, PTRP
• Core Solutions, LLC
• Ashley Coronado-Simon
• Karen Cortes Chong
• Dohana Cortes Prado
• Amy Costello, PT, DPT
• Orly Yvette Costo, L.C.S.W.
• Elfie Balbuena Cotiangco, PT

• Community/Retail Pharmacy in Forest Hills, NY
• Providers in Forest Hills, 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 Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.