Organization Active NPI

Arcola Pharmacy Corp

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1598869554
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023253 Issued in NY
Legal business name
ARCOLA PHARMACY CORP
Practice address
6545 99TH St
Rego Park, NY 11374-4347
Phone
(718) 275-5838
Fax
(718) 275-5868
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Peter Fakhlayev
Title
President
Phone
(718) 275-5838

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 023253 NY Primary

Addresses

Primary practice location

6545 99TH St
Rego Park, NY 11374-4347

Mailing address

6545 99TH St
Rego Park, NY 11374-4347
Phone (718) 275-5838

Other identifiers 2

IdentifierTypeStateIssuer
01742103MedicaidNY
3320621OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ARCOLA PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1598869554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744347",
            "telephone_number": "718-275-5838",
            "fax_number": "718-275-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744347",
            "telephone_number": "718-275-5838",
            "fax_number": "718-275-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCOLA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "FAKHLAYEV",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-275-5838"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742103",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3320621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCOLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.