Organization Active NPI

Hispanos Pharmacy Inc

  • Community/Retail Pharmacy
  • Jackson Heights, NY
National Provider Identifier
1477334076
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HISPANOS PHARMACY INC
Practice address
8011 37TH Ave
Jackson Heights, NY 11372
Phone
(718) 255-6129
Fax
(718) 255-1869
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Lucia Amparo Gutierrez Gonzalez
Title
Director
Phone
(718) 255-6129

Specialties & licenses 1

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

Addresses

Primary practice location

8011 37TH Ave
Jackson Heights, NY 11372

Mailing address

8011 37TH Ave
Jackson Heights, NY 11372
Phone (718) 255-6129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240326000216 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2567809676 Practice locations: Jackson Heights, NY
O20240812002725 NY DME Supplier - Pharmacy 2567809676 Practice locations: Jackson Heights, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hispanos Pharmacy Inc8011 37TH Avenue, Jackson Heights, NY 11372(718) 255-6129 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 10, 2024

National Provider Directory

National Provider Directory

Locations

8011 37th Ave
Jackson Heights, NY 11372
Phone (718) 255-6129

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1477334076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-255-6129",
            "fax_number": "718-255-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-255-6129",
            "fax_number": "718-255-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ GONZALEZ",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "AMPARO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-255-6129"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.