Organization Active NPI

Queens Compounder Inc

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1497924963
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
028608 Issued in NY
Legal business name
QUEENS COMPOUNDER INC
Doing business as
queens county apothecary
Practice address
16512 Crocheron Ave
Flushing, NY 11358-2018
Phone
(718) 939-3840
Fax
(718) 939-3841
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. Robert Jung
Title
President
Phone
(718) 939-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 028608 NY Primary

Addresses

Primary practice location

16512 Crocheron Ave
Flushing, NY 11358-2018

Mailing address

16512 Crocheron Ave
Flushing, NY 11358-2018
Phone (718) 939-3840

Other names 1

  • queens county apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

16512 Crocheron Ave
Flushing, NY 11358
Phone (718) 886-3510

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1497924963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16512 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582018",
            "telephone_number": "718-939-3840",
            "fax_number": "718-939-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16512 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582018",
            "telephone_number": "718-939-3840",
            "fax_number": "718-939-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COMPOUNDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-939-3840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "028608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "queens county apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.