Dosepack Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DOSEPACK PHARMACY LLC

Practice address

258-15 Hillside Avenue Store# 2
Glen Oaks, NY 11004

Phone

(845) 558-3688

Fax

(845) 558-3687

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Muhammad Atif Ishtiaq

Title

Owner

Phone

(347) 635-9737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1316520190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258-15 HILLSIDE AVENUE STORE #2",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "845-558-3688",
            "fax_number": "845-558-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258-15 HILLSIDE AVENUE STORE# 2",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "845-558-3688",
            "fax_number": "845-558-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOSEPACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ISHTIAQ",
        "authorized_official_first_name": "MUHAMMAD ATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-635-9737"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Libby Dicker, D.O.
• Robert Dicker, MD
• Courtney Alissa Dietrich, LMSW
• Allison Distefano
• Eugene Kobla Dordoye, MD
• Dosepack Pharmacy LLC
• Anuj P Doshi, RPH
• Ashley Duah, NP
• Duane Reade
• Vivien Duruibe

• Community/Retail Pharmacy in Glen Oaks, NY
• Providers in Glen Oaks, 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 Jul 28, 2021; 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.