Active NPI
Ahv Pharmacy, Inc
- Community/Retail Pharmacy
- Queens Village, NY
National Provider Identifier
1457866337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 035539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.