Organization Active NPI

Cedars Pharmacy Inc

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1366478547
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021512 Issued in NY
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

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Bassel MoussaNPI 1144543588
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3330393OtherNCPDP PROVIDER IDENTIFICATION NUMBER
01394678MedicaidNY

Other names 1

  • CEDARS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.