Elmhurst Star Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029299 Issued in NY

Legal business name

ELMHURST STAR PHARMACY INC.

Practice address

1850 Grand Concourse
Bronx, NY 10457-5520

Phone

(718) 299-2200

Fax

(718) 299-6200

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Satya Dasari

Title

President

Phone

(718) 229-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CONCOURSE PHARMCY 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 2

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

• Sharmila J Chhugani

  • Pharmacist
  • Saint Albans, NY
  • NPI 1376866871
  NPD (past)
• Doo Sik Park, MD

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1649333790
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1366683021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575520",
            "telephone_number": "718-299-2200",
            "fax_number": "718-299-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575520",
            "telephone_number": "718-299-2200",
            "fax_number": "718-299-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST STAR PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-229-2200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3360346",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03094066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONCOURSE PHARMCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Elmendorf, MS,ED
• Elmer Arteaga Medical PC
• Abdu A Elmetwally, PT
• Elmhurst RX Inc
• Elmhurst RX Inc
• Fadima Mohamed Warsame Elmi, MD
• Izzeldin Abdelrahman Khogali Elmubarak
• Elizabeth Elohim
• Tarek Elrafei, D.O.
• Omnia Elrefaei, MD

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 Dec 17, 2015; 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.