Organization Active NPI

Thriftway Far Rockaway Drug Corp

Doing business as Thriftway Pharmacy

  • Community/Retail Pharmacy
  • Far Rockaway, NY
National Provider Identifier
1265537807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
011557 Issued in NY
Legal business name
THRIFTWAY FAR ROCKAWAY DRUG CORP
Doing business as
Thriftway Pharmacy
Practice address
2102 Mott Ave
Far Rockaway, NY 11691-3302
Phone
(718) 327-2559
Fax
(718) 327-2491
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Edward Pearlman, RPHNPI 1043532708
Title
Pharmacy Director
Phone
(212) 737-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 011557 NY Primary

Addresses

Primary practice location

2102 Mott Ave
Far Rockaway, NY 11691-3302

Mailing address

2102 Mott Ave
Far Rockaway, NY 11691-3302
Phone (718) 327-2559

Other identifiers 2

IdentifierTypeStateIssuer
3317220OtherNYNCPDP ID
00261532MedicaidNY

Other names 1

  • THRIFTWAY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265537807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913302",
            "telephone_number": "718-327-2559",
            "fax_number": "718-327-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913302",
            "telephone_number": "718-327-2559",
            "fax_number": "718-327-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTWAY FAR ROCKAWAY DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "212-737-5560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "011557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP ID",
            "identifier": "3317220",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00261532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIFTWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.