Active NPI
Mitaz Corp
- Community/Retail Pharmacy
- Woodside, NY
National Provider Identifier
1528207644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029396
- Legal business name
- MITAZ CORP
- Doing business as
- All Care Pharmacy and Surgical
- Practice address
- 35-26/35-30 64TH St
Woodside, NY 11377 - Phone
- (718) 424-8825
- Fax
- (718) 424-8633
- NPI assigned
- Feb 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monirul Islam
- Title
- Secretary
- Phone
- (718) 510-7393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029396 | NY | Primary |
Addresses
Primary practice location
35-26/35-30 64TH St
Woodside, NY 11377
Mailing address
35-26/35-30 64TH St
Woodside, NY 11377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3360663 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- All Care Pharmacy and Surgical
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jamaica, NY
- NPI 1598890303
-
- Pharmacist
- Woodside, NY
- NPI 1356581912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1528207644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35-26/35-30 64TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35-26/35-30 64TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377",
"telephone_number": "718-424-8825",
"fax_number": "718-424-8633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITAZ CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "MONIRUL",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "718-510-7393"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3360663",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "All Care Pharmacy and Surgical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.