Organization Active NPI

Queens Community Express Pharmacy Inc

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1477740041
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028540 Issued in NY
Legal business name
QUEENS COMMUNITY EXPRESS PHARMACY INC
Doing business as
Queens Community Express Pharmacy Inc
Practice address
168 12 Hillside Ave
Jamaica, NY 11432
Phone
(718) 206-9096
Fax
(718) 206-9097
NPI assigned
Sep 27, 2007
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Amir Khan
Title
Owner
Phone
(718) 206-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028540 NY Primary

Addresses

Primary practice location

168 12 Hillside Ave
Jamaica, NY 11432

Mailing address

168 12 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-9096

Other identifiers 2

IdentifierTypeStateIssuer
02926387MedicaidNY
3355585OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • QUEENS COMMUNITY EXPRESS PHARMACY INC Doing business as

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
Queens Community Express Pharmacy168-12 Hillside Ave, Jamaica, NY 11432-4341(718) 206-9096 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 10, 2017

National Provider Directory

National Provider Directory

Locations

16812 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-9096

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1477740041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 12 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-206-9096",
            "fax_number": "718-206-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 12 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-206-9096",
            "fax_number": "718-206-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COMMUNITY EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-206-9096"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02926387",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3355585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS COMMUNITY EXPRESS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.