Organization Active NPI

Queens Pharmacy Center II Inc

Doing business as Queens Pharmacy Center

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1295441780
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUEENS PHARMACY CENTER II INC
Doing business as
Queens Pharmacy Center
Practice address
8235 164TH St
Jamaica, NY 11432-1120
Phone
(718) 380-1261
Fax
(718) 380-0042
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Artur G Aksakalov
Title
President
Phone
(718) 380-1261

Specialties & licenses 1

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

Addresses

Primary practice location

8235 164TH St
Jamaica, NY 11432-1120

Mailing address

8235 164TH St
Jamaica, NY 11432-1120
Phone (718) 380-1261

Other names 1

  • QUEENS PHARMACY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230303000203 NY Part B Supplier - Pharmacy 2264805746 Practice locations: Jamaica, NY
O20230426003126 NY DME Supplier - Pharmacy 2264805746 Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

8235 164th St
Jamaica, NY 11432
Phone (718) 380-1261

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1295441780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321120",
            "telephone_number": "718-380-1261",
            "fax_number": "718-380-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321120",
            "telephone_number": "718-380-1261",
            "fax_number": "718-380-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS PHARMACY CENTER II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "AKSAKALOV",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-380-1261"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS PHARMACY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.