Elmhurst Pharmacy & Home Infusion Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029988 Issued in NY

Legal business name

ELMHURST PHARMACY & HOME INFUSION INC

Practice address

8106 Baxter Ave
Elmhurst, NY 11373-1385

Phone

(718) 507-2299

Fax

(718) 507-2399

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Wanas KhalilNPI 1619147295

Title

Owner

Phone

(718) 507-2299

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Elmhurst Pharmacy & Home Infusion Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanas Aniss Hana Khalil

  • Pharmacist
  • Whitestone, NY
  • NPI 1619147295
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1598083479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 BAXTER AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731385",
            "telephone_number": "718-507-2299",
            "fax_number": "718-507-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 BAXTER AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731385",
            "telephone_number": "718-507-2299",
            "fax_number": "718-507-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST PHARMACY & HOME INFUSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "WANAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-507-2299"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3247427",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmhurst Pharmacy & Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.