Organization Active NPI

Five Borough Pahramacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Jamaica, NY
National Provider Identifier
1417432436
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FIVE BOROUGH PAHRAMACY LLC
Practice address
13149 234TH St
Jamaica, NY 11422-1311
Phone
(718) 288-3488
Fax
(718) 374-6796
NPI assigned
Sep 25, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Lester K Green
Title
President
Phone
(917) 983-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

13149 234TH St
Jamaica, NY 11422-1311

Mailing address

13149 234TH St
Jamaica, NY 11422-1311
Phone (718) 288-3488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1417432436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13149 234TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114221311",
            "telephone_number": "718-288-3488",
            "fax_number": "718-374-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13149 234TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114221311",
            "telephone_number": "718-288-3488",
            "fax_number": "718-374-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE BOROUGH PAHRAMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-983-9666"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.