Organization Active NPI

New Hollis Inc

Doing business as Hollis Pharmacy

  • Community/Retail Pharmacy
  • Hollis, NY
National Provider Identifier
1295805273
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028053 Issued in NY
Legal business name
NEW HOLLIS INC
Doing business as
Hollis Pharmacy
Practice address
188 06A Jamaica Ave
Hollis, NY 11423
Phone
(718) 776-8505
Fax
(718) 776-4634
NPI assigned
Nov 8, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Gohar Iqbal
Title
President
Phone
(718) 776-8505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 028053 NY Primary

Addresses

Primary practice location

188 06A Jamaica Ave
Hollis, NY 11423

Mailing address

188 06A Jamaica Ave
Hollis, NY 11423
Phone (718) 776-8505

Other identifiers 2

IdentifierTypeStateIssuer
2059694OtherPK
02779422MedicaidNY

Other names 1

  • HOLLIS PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170721002695 NY DME Supplier - Pharmacy 5294005377 Practice locations: Hollis, NY
O20220617001492 NY Part B Supplier - Pharmacy 5294005377 Practice locations: Hollis, NY

National Provider Directory

National Provider Directory

Locations

18806 Jamaica Ave
Ste A
Hollis, NY 11423
Phone (718) 776-8505

Practitioners & affiliated clinicians

Practitioners 1

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1295805273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 06A JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-776-8505",
            "fax_number": "718-776-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 06A JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-776-8505",
            "fax_number": "718-776-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOLLIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-776-8505"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059694",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02779422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.