Active NPI
Quest Pharmacy Corp
Doing business as Maxwell Drugs
- Community/Retail Pharmacy
- Ozone Park, NY
National Provider Identifier
1326585183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032525
- Legal business name
- QUEST PHARMACY CORP
- Doing business as
- Maxwell Drugs
- Practice address
- 150-29 Cross Bay Blvd Store 1
Ozone Park, NY 11417 - Phone
- (718) 641-5010
- Fax
- (718) 641-5012
- NPI assigned
- Jan 31, 2017
- 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
- Roman Israilov
- Title
- President
- Phone
- (718) 641-5010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 032525 | NY | Primary |
Addresses
Primary practice location
150-29 Cross Bay Blvd Store 1
Ozone Park, NY 11417
Mailing address
150-29 Cross Bay Blvd Store 1
Ozone Park, NY 11417
Phone (718) 641-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167301 | Other | PK |
Other names 1
- MAXWELL DRUGS
National Provider Directory
National Provider Directory- Tax ID family
- Maxwell Drugs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492732800000",
"number": "1326585183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150-29 CROSS BAY BLVD STORE 1",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11417",
"telephone_number": "718-641-5010",
"fax_number": "718-641-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150-29 CROSS BAY BLVD STORE 1",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11417",
"telephone_number": "718-641-5010",
"fax_number": "718-641-5012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEST PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2017-04-21",
"status": "A",
"authorized_official_last_name": "ISRAILOV",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-641-5010"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "032525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167301",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MAXWELL DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.