Organization Active NPI

Star Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1508398967
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035333 Issued in NY
Legal business name
STAR CARE PHARMACY INC
Practice address
17520 Hillside Ave
Jamaica, NY 11432-5773
Phone
(718) 262-8789
Fax
(718) 262-9083
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Mariya Rackman
Title
Ceo, Pic
Phone
(718) 262-8789

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035333 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

17520 Hillside Ave
Jamaica, NY 11432-5773

Mailing address

17520 Hillside Ave
Jamaica, NY 11432-5773
Phone (718) 262-8789

Other identifiers 1

IdentifierTypeStateIssuer
2168708OtherPK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1508398967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325773",
            "telephone_number": "718-262-8789",
            "fax_number": "718-262-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325773",
            "telephone_number": "718-262-8789",
            "fax_number": "718-262-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "RACKMAN",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "CEO, PIC",
        "authorized_official_telephone_number": "718-262-8789"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035333",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 2017; 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.