74-17 101 Ave Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

TF-2671820 Issued in NY

Legal business name

74-17 101 AVE PHARMACY INC.

Practice address

7417 101St Ave
Ozone Park, NY 11416-1026

Phone

(718) 296-1023

Fax

(718) 296-1023

NPI assigned

Jun 13, 2009

Last updated

Jun 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Javed Aziz

Title

President

Phone

(718) 296-1023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244851200000",
    "number": "1316174659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161026",
            "telephone_number": "718-296-1023",
            "fax_number": "718-296-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161026",
            "telephone_number": "718-296-1023",
            "fax_number": "718-296-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "74-17 101 AVE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-06-13",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-296-1023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "TF-2671820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; 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.