Organization Active NPI

Queens Unity Pharmacy Inc

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1528514775
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUEENS UNITY PHARMACY INC
Practice address
16812
Hillside Avenue
Jamaica, NY 11432-4341
Phone
(718) 751-5895
Fax
(718) 206-9097
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Shaliza Abdool
Title
President
Phone
(718) 751-5895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

16812
Hillside Avenue
Jamaica, NY 11432-4341

Mailing address

16812
Hillside Avenue
Jamaica, NY 11432-4341
Phone (718) 751-5895

Other names 1

  • queens community express pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170628002305 NY DME Supplier - Pharmacy 9234408667 Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1528514775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16812",
            "address_2": "HILLSIDE AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324341",
            "telephone_number": "718-751-5895",
            "fax_number": "718-206-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16812",
            "address_2": "HILLSIDE AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324341",
            "telephone_number": "718-751-5895",
            "fax_number": "718-206-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS UNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "ABDOOL",
        "authorized_official_first_name": "SHALIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-751-5895"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "queens community express pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.