Organization Active NPI

Elmhurst Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1467461996
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020858 Issued in NY
Legal business name
ELMHURST PHARMACY, INC.
Practice address
7523 Broadway
Elmhurst, NY 11373-5612
Phone
(718) 565-8667
Fax
(718) 565-6041
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Mohammad A Uddin, M.S. R.PHNPI 1255428330
Title
Pharmacist R.PH
Phone
(718) 565-8667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020858 NY Primary

Addresses

Primary practice location

7523 Broadway
Elmhurst, NY 11373-5612

Mailing address

7523 Broadway
Elmhurst, NY 11373-5612
Phone (718) 565-8667

Other identifiers 1

IdentifierTypeStateIssuer
01612037MedicaidNY

National Provider Directory

National Provider Directory

Locations

7523 Broadway
Flushing, NY 11373
Phone (718) 565-8667

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1467461996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735612",
            "telephone_number": "718-565-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735612",
            "telephone_number": "718-565-8667",
            "fax_number": "718-565-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST R.PH",
        "authorized_official_telephone_number": "718-565-8667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01612037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.