Organization Active NPI

Bellecare Pharmacy Inc

  • Community/Retail Pharmacy
  • Glen Oaks, NY
National Provider Identifier
1598335143
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BELLECARE PHARMACY INC
Practice address
25515 Hillside Ave
Glen Oaks, NY 11004-1615
Phone
(718) 413-2772
Fax
(718) 413-2782
NPI assigned
Jun 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Tayaba Sohail
Title
Ceo / Owner
Phone
(718) 413-2772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

25515 Hillside Ave
Glen Oaks, NY 11004-1615

Mailing address

25515 Hillside Ave
Glen Oaks, NY 11004-1615
Phone (718) 413-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220118001236 NY Part B Supplier - Pharmacy 3870985138 Practice locations: Glen Oaks, NY
O20220124000371 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3870985138 Practice locations: Glen Oaks, NY

National Provider Directory

National Provider Directory

Locations

25515 Hillside Ave
Glen Oaks, NY 11004
Phone (718) 413-2772

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1598335143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25515 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041615",
            "telephone_number": "718-413-2772",
            "fax_number": "718-413-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25515 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041615",
            "telephone_number": "718-413-2772",
            "fax_number": "718-413-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLECARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "SOHAIL",
        "authorized_official_first_name": "TAYABA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "718-413-2772"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.