Organization Active NPI

Mr Pharmacy Inc

  • Community/Retail Pharmacy
  • Far Rockaway, NY
National Provider Identifier
1457581142
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029527 Issued in NY
Legal business name
MR PHARMACY INC
Doing business as
Ideal Drugs
Practice address
1901 Mott Ave
Far Rockaway, NY 11691-4104
Phone
(718) 868-4860
Fax
(718) 327-2543
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Mayank Jarmarwala
Title
President
Phone
(718) 868-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029527 NY Primary

Addresses

Primary practice location

1901 Mott Ave
Far Rockaway, NY 11691-4104

Mailing address

1901 Mott Ave
Far Rockaway, NY 11691-4104
Phone (718) 868-4860

Other identifiers 2

IdentifierTypeStateIssuer
3125142MedicaidNY
2121278OtherPK

Other names 1

  • Ideal Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

1901 Mott Ave
Far Rockaway, NY 11691
Phone (718) 868-4860

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1457581142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914104",
            "telephone_number": "718-868-4860",
            "fax_number": "718-327-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914104",
            "telephone_number": "718-868-4860",
            "fax_number": "718-327-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "JARMARWALA",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-868-4860"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3125142",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.