Active NPI
Cedars Pharmacy Inc
- Community/Retail Pharmacy
- Elmhurst, NY
National Provider Identifier
1366478547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021512
- Legal business name
- CEDARS PHARMACY INC
- Practice address
- 9519 57TH Ave
Elmhurst, NY 11373-4616 - Phone
- (718) 271-9429
- Fax
- (718) 271-9438
- NPI assigned
- Jun 23, 2006
- 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
- Bassel Moussa
- Title
- Pharmacist
- Phone
- (718) 271-9429
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 021512 | NY | Primary |
Addresses
Primary practice location
9519 57TH Ave
Elmhurst, NY 11373-4616
Mailing address
9519 57TH Ave
Elmhurst, NY 11373-4616
Phone (718) 271-9429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3330393 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 01394678 | Medicaid | NY |
Other names 1
- CEDARS PHARMACY
National Provider Directory
National Provider DirectoryLocations
9519 57th Ave
Elmhurst, NY 11373
Phone (718) 271-9429
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elmhurst, NY
- NPI 1144543588
-
- Pharmacist
- Elmhurst, NY
- NPI 1932726288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1366478547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9519 57TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734616",
"telephone_number": "718-271-9429",
"fax_number": "718-271-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9519 57TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734616",
"telephone_number": "718-271-9429",
"fax_number": "718-271-9438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDARS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "MOUSSA",
"authorized_official_first_name": "BASSEL",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "718-271-9429"
},
"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": "021512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3330393",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01394678",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CEDARS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.