Organization Active NPI

Ahv Pharmacy, Inc

  • Community/Retail Pharmacy
  • Queens Village, NY
National Provider Identifier
1457866337
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035539 Issued in NY
Legal business name
AHV PHARMACY, INC
Practice address
11150 Springfield Blvd
Queens Village, NY 11429-2542
Phone
(718) 740-1237
Fax
(718) 740-1085
NPI assigned
Dec 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Mr. Anisov Vitaliy
Title
Store Owner
Phone
(718) 740-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 035539 NY Primary

Addresses

Primary practice location

11150 Springfield Blvd
Queens Village, NY 11429-2542

Mailing address

11150 Springfield Blvd
Queens Village, NY 11429-2542
Phone (718) 740-1237

National Provider Directory

National Provider Directory

Locations

11150 Springfield Blvd
Queens Village, NY 11429
Phone (718) 740-1237

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1457866337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292542",
            "telephone_number": "718-740-1237",
            "fax_number": "718-740-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292542",
            "telephone_number": "718-740-1237",
            "fax_number": "718-740-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHV PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "VITALIY",
        "authorized_official_first_name": "ANISOV",
        "authorized_official_title_or_position": "STORE OWNER",
        "authorized_official_telephone_number": "718-740-1237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.