M & D Elite Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

M & D ELITE PHARMACY LLC

Practice address

239-19 Braddock Ave
Jamaica, NY 11426-7209

Phone

(646) 568-6448

Fax

(646) 568-6449

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Marat Zagorin

Title

President

Phone

(646) 568-6448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487172102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239-19 BRADDOCK AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114267209",
            "telephone_number": "646-568-6448",
            "fax_number": "646-568-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239-19 BRADDOCK AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114267209",
            "telephone_number": "646-568-6448",
            "fax_number": "646-568-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & D ELITE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZAGORIN",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-568-6448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Jamaica, NY
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• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.