Organization Active NPI

One Family Pharmacy Inc.

Doing business as Prime Care Rx Pharmacy

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1326705781
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039213OtherNYPHARMACY REGISTRATION

Other names 1

  • Prime Care Rx Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220314001885 NY Part B Supplier - Pharmacy 0648662072 Practice locations: Corona, NY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.