Active NPI
Camia Drugs Inc
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1306986674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 023727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Clara Maria Restrepo, PHARMACIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01879170 | Medicaid | NY |
Other names 1
- franconia pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Community/Retail Pharmacy
- Hempstead, NY
- NPI 1902027980
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.