Active NPI
MB Pharmacy LLC
- Pharmacist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028921
- Legal business name
- MB PHARMACY LLC
- Practice address
- 11457 Queens Blvd
Forest Hills, NY 11375-6554 - Phone
- (718) 268-1900
- Fax
- (718) 268-0013
- NPI assigned
- May 23, 2008
- 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
- Ellana Pinchasow
- Title
- Supervising Pharmacist
- Phone
- (718) 268-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028921 | NY | Primary |
Addresses
Primary practice location
11457 Queens Blvd
Forest Hills, NY 11375-6554
Mailing address
11457 Queens Blvd
Forest Hills, NY 11375-6554
Phone (718) 268-1900
Other practice location 1
11101 Queens Blvd
Forest Hills, NY 11375-5553
Phone (718) 268-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031187 | NY | DME Supplier - Pharmacy | 9537366216 | Practice locations: Forest Hills, 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 |
|---|---|---|
| MB Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Insulin Infusion Pumps and/or Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Elec… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
11457 Queens Blvd
Forest Hills, NY 11375
Phone (718) 268-1900
11101 Queens Blvd
Forest Hills, NY 11375
Phone (718) 268-1900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1689858409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1558529784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11457 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756554",
"telephone_number": "718-268-1900",
"fax_number": "718-260-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11457 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756554",
"telephone_number": "718-268-1900",
"fax_number": "718-268-0013"
}
],
"practiceLocations": [
{
"address_1": "11101 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113755553",
"country_code": "US",
"telephone_number": "718-268-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MB PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "PINCHASOW",
"authorized_official_first_name": "ELLANA",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-268-1900"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "028921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.