Value Mart Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VALUE MART PHARMACY INC.

Practice address

19111 Jamaica Ave
Hollis, NY 11423-2527

Phone

(718) 971-6643

Fax

(718) 691-4121

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Ilina Shakhmurova

Title

President

Phone

(718) 971-6643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1316761679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232527",
            "telephone_number": "718-971-6643",
            "fax_number": "718-691-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232527",
            "telephone_number": "718-971-6643",
            "fax_number": "718-691-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE MART PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SHAKHMUROVA",
        "authorized_official_first_name": "ILINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-971-6643"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truecare1 Corporation
• Basmattie Uditsukhu
• Caroline Amenaghawon Ugbogbo, NP
• Tatiana Uguru, PMHNP
• Udodirim Joy Ukwu, LCSW
• Vandana Khurana DPT PC
• Miguel Vargas, M.D.
• Sara Vega
• Jean Herve Veillard, NURSE
• Kathryn R Vella

• Community/Retail Pharmacy in Hollis, NY
• Providers in Hollis, 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 Nov 13, 2024; 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.