Ny Pharmacy & Compounding Center Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

032842 Issued in NY

Legal business name

NY PHARMACY & COMPOUNDING CENTER INC.

Practice address

3715 23Rd Ave
Astoria, NY 11105-1993

Phone

(718) 406-9653

Fax

(718) 406-9654

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Wesam Abdrabouh, RPH

Title

President/Owner

Phone

(201) 403-5151

Specialties & licenses 1

Addresses

Other names 1

• Wespaw Pets Pharmacy Doing business as

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1487063830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 23RD AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051993",
            "telephone_number": "718-406-9653",
            "fax_number": "718-406-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 23RD AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051993",
            "telephone_number": "718-406-9653",
            "fax_number": "718-406-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PHARMACY & COMPOUNDING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "ABDRABOUH",
        "authorized_official_first_name": "WESAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-403-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "032842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wespaw Pets Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Astoria, NY
• Providers in Astoria, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.