Tristate Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

032279 Issued in NY

Legal business name

TRISTATE PHARMACY INC.

Practice address

8924 37TH Ave
Jackson Heights, NY 11372-7739

Phone

(718) 565-1900

Fax

(718) 565-6900

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Shahid Nawaz

Title

President

Phone

(718) 565-1900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1487083606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727739",
            "telephone_number": "718-565-1900",
            "fax_number": "718-565-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727739",
            "telephone_number": "718-565-1900",
            "fax_number": "718-565-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-565-1900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "032279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.