Willis Ave RX LTD

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WILLIS AVE RX LTD

Practice address

611 Willis Ave
Williston Park, NY 11596-1147

Phone

(516) 747-9100

Fax

(516) 747-9101

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Haris Wajahat

Title

President

Phone

(516) 747-9100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1639982606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961147",
            "telephone_number": "516-747-9100",
            "fax_number": "516-747-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961147",
            "telephone_number": "516-747-9100",
            "fax_number": "516-747-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS AVE RX LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "WAJAHAT",
        "authorized_official_first_name": "HARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-747-9100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.