Active NPI
Tiger RX Inc.
- Community/Retail Pharmacy
- Woodside, NY
National Provider Identifier
1548022361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TIGER RX INC.
- Practice address
- 6919 Northern Blvd
Woodside, NY 11377-2246 - Phone
- (347) 612-4150
- Fax
- (347) 612-4451
- NPI assigned
- Jan 26, 2024
- 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
- Kam Haque
- Title
- President
- Phone
- (347) 612-4150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6919 Northern Blvd
Woodside, NY 11377-2246
Mailing address
6919 Northern Blvd
Woodside, NY 11377-2246
Phone (347) 612-4150
Other names 1
- Tiger Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430002333 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658711262 | Practice locations: Woodside, NY |
| O20250204001364 | NY | DME Supplier - Pharmacy | 1658711262 | Practice locations: Woodside, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tiger RX Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
6919 Northern Blvd
Woodside, NY 11377
Phone (347) 612-4150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1548022361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6919 NORTHERN BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772246",
"telephone_number": "347-612-4150",
"fax_number": "347-612-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6919 NORTHERN BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772246",
"telephone_number": "347-612-4150",
"fax_number": "347-612-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIGER RX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-26",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "HAQUE",
"authorized_official_first_name": "KAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-612-4150"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tiger Pharmacy",
"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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.