Organization Active NPI

MB Pharmacy LLC

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1558529784
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
028921 Issued in NY
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

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Ellana PinchasowNPI 1689858409
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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20100930031187 NY DME Supplier - Pharmacy 9537366216 Practice locations: Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
MB Pharmacy LLC11457 Queens Blvd, Forest Hills, NY 11375-6554(718) 268-1900 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 assignmentParticipating since Jul 9, 2008

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.