Active NPI
Manor Meds Pharmacy Corp.
- Community/Retail Pharmacy
- Douglaston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MANOR MEDS PHARMACY CORP.
- Practice address
- 4031 235TH St
Douglaston, NY 11363-1509 - Phone
- (718) 819-8130
- Fax
- (718) 819-8138
- NPI assigned
- May 29, 2025
- Last updated
- Jun 17, 2025
- 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
- Sophia Pinkhasova
- Title
- Owner
- Phone
- (917) 373-7843
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
4031 235TH St
Douglaston, NY 11363-1509
Mailing address
4031 235TH St
Douglaston, NY 11363-1509
Phone (718) 819-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250902000327 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284135146 | Practice locations: Douglaston, NY |
| O20250903003425 | NY | DME Supplier - Pharmacy | 4284135146 | Practice locations: Douglaston, NY |
| O20251110002225 | NY | Part B Supplier - Pharmacy | 4284135146 | Practice locations: Douglaston, 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 |
|---|---|---|
| Manor Meds Pharmacy Corp. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4031 235th St
Little Neck, NY 11363
Phone (718) 819-8130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Douglaston, NY
- NPI 1952885683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1568355626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 235TH ST",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631509",
"telephone_number": "718-819-8130",
"fax_number": "718-819-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 235TH ST",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631509",
"telephone_number": "718-819-8130",
"fax_number": "718-819-8138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANOR MEDS PHARMACY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-29",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "PINKHASOVA",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-373-7843"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglaston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.