Organization Active NPI

Levin's Drugs Inc.

  • Pharmacist
  • Rego Park, NY
National Provider Identifier
1598806580
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025200 Issued in NY
Legal business name
LEVIN'S DRUGS INC.
Practice address
9890A Queens Blvd
Rego Park, NY 11374-4354
Phone
(718) 459-1500
Fax
(718) 459-5956
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Igor Shafran
Title
President
Phone
(917) 692-5292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 025200 NY Primary

Addresses

Primary practice location

9890A Queens Blvd
Rego Park, NY 11374-4354

Mailing address

9890A Queens Blvd
Rego Park, NY 11374-4354
Phone (718) 459-1500

Other identifiers 2

IdentifierTypeStateIssuer
025200OtherNYPHARMACY LICENSE
02213858MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220112000752 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9234342395 Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Locations

9890A Queens Blvd
Rego Park, NY 11374
Phone (718) 459-1500

Practitioners & affiliated clinicians

Practitioners 2

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": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1598806580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890A QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744354",
            "telephone_number": "718-459-1500",
            "fax_number": "718-459-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890A QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744354",
            "telephone_number": "718-459-1500",
            "fax_number": "718-459-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVIN'S DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SHAFRAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-692-5292"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "025200",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02213858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.