Organization Active NPI

Mitaz Corp

  • Community/Retail Pharmacy
  • Woodside, NY
National Provider Identifier
1528207644
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029396 Issued in NY
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

Updated by the provider on Sep 28, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3360663OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • All Care Pharmacy and Surgical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.