Organization Active NPI

Naima Pharmacy Corp

  • Community/Retail Pharmacy
  • Jackson Heights, NY
National Provider Identifier
1336489301
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NAIMA PHARMACY CORP
Practice address
8210 37TH Ave
Jackson Heights, NY 11372-7023
Phone
(718) 205-5001
Fax
(718) 205-5644
NPI assigned
Feb 27, 2013
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Mr. Wanas KhalilNPI 1619147295
Title
Owner/Pharmacist
Phone
(718) 205-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

8210 37TH Ave
Jackson Heights, NY 11372-7023

Mailing address

8210 37TH Ave
Jackson Heights, NY 11372-7023
Phone (718) 205-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526002621 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1951545649 Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

8210 37th Ave
Jackson Heights, NY 11372
Phone (718) 205-5001

Practitioners & affiliated clinicians

Practitioners 2

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": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1336489301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727023",
            "telephone_number": "718-205-5001",
            "fax_number": "718-205-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727023",
            "telephone_number": "718-205-5001",
            "fax_number": "718-205-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAIMA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "WANAS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "718-205-5001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.