Organization Active NPI

Camia Drugs Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1306986674
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023727 Issued in NY
Legal business name
CAMIA DRUGS INC
Practice address
4502 162ND St
Flushing, NY 11358-3158
Phone
(718) 359-7780
Fax
(718) 359-9780
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Mrs. Clara Maria Restrepo, PHARMACISTNPI 1902027980
Title
Owner
Phone
(718) 359-7780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023727 NY Primary

Addresses

Primary practice location

4502 162ND St
Flushing, NY 11358-3158

Mailing address

4502 162ND St
Flushing, NY 11358-3158
Phone (718) 359-7780

Other identifiers 1

IdentifierTypeStateIssuer
01879170MedicaidNY

Other names 1

  • franconia 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
O20171004000153 NY Part B Supplier - Pharmacy 8921373887 Practice locations: Flushing, NY
O20210413002122 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8921373887 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4502 162nd St
Flushing, NY 11358
Phone (718) 359-7780

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1306986674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583158",
            "telephone_number": "718-359-7780",
            "fax_number": "718-359-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583158",
            "telephone_number": "718-359-7780",
            "fax_number": "718-359-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMIA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-359-7780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "franconia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.