Active NPI
One Family Pharmacy Inc.
Doing business as Prime Care Rx Pharmacy
- Community/Retail Pharmacy
- Corona, NY
National Provider Identifier
1326705781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ONE FAMILY PHARMACY INC.
- Doing business as
- Prime Care Rx Pharmacy
- Practice address
- 9608 Northern Blvd
Corona, NY 11368-1046 - Phone
- (718) 255-1813
- Fax
- (718) 255-1873
- NPI assigned
- Nov 19, 2021
- Last updated
- Mar 4, 2022
- 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
- Miraj Ahmed
- Title
- President
- Phone
- (718) 255-1813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
9608 Northern Blvd
Corona, NY 11368-1046
Mailing address
9608 Northern Blvd
Corona, NY 11368-1046
Phone (718) 255-1813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039213 | Other | NY | PHARMACY REGISTRATION |
Other names 1
- Prime Care Rx Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220314001885 | NY | Part B Supplier - Pharmacy | 0648662072 | Practice locations: Corona, NY |
National Provider Directory
National Provider DirectoryLocations
9608 Northern Blvd
Corona, NY 11368
Phone (718) 255-1813
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Corona, NY
- NPI 1528397270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1326705781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9608 NORTHERN BLVD",
"city": "CORONA",
"state": "NY",
"postal_code": "113681046",
"telephone_number": "718-255-1813",
"fax_number": "718-255-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9608 NORTHERN BLVD",
"city": "CORONA",
"state": "NY",
"postal_code": "113681046",
"telephone_number": "718-255-1813",
"fax_number": "718-255-1873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE FAMILY PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-19",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MIRAJ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-255-1813"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY REGISTRATION",
"identifier": "039213",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Care Rx Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prime Care Rx Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corona, NY
- Paschaline Ginika Offor
- Ferdinand A Ofodile, MD
- Tatyana Okhotnikova, NP IN PSYCHIATRY
- Thercy Saint Jean Olivert, LPN
- Omprakash Ramani MD PC
- Chinwe Onodu, RN
- Barifi Opare-Addo, MD
- Ophthalmology Specialist of Queens PLLC
- Ophthalmology Specialists of New York LLC (Vista Eye Care)
- Oral and Maxillofacial Surgery of Queens
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.