Corona Hub Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORONA HUB INC

Practice address

4220 National St
Corona, NY 11368-2445

Phone

(718) 255-6960

Fax

(718) 255-6961

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Omar Korban, PHARMACISTNPI 1972258598

Title

Supervising Pharmacist

Phone

(347) 606-1000

Specialties & licenses 1

Addresses

Other names 1

• K&A PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Korban

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1972258598
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1346003134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 NATIONAL ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682445",
            "telephone_number": "718-255-6960",
            "fax_number": "718-255-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 NATIONAL ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682445",
            "telephone_number": "718-255-6960",
            "fax_number": "718-255-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA HUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "KORBAN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "347-606-1000",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&A PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corona Medical Testing PLLC
• Corona Optometry PC
• Corona Optometry, PC

• Community/Retail Pharmacy in Corona, NY
• Providers in Corona, 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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.