Queens Express Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028747 Issued in NY

Legal business name

QUEENS EXPRESS PHARMACY CORP

Doing business as

Queens Express Pharmacy

Practice address

3454 Junction Blvd
Jackson Heights, NY 11372-3829

Phone

(718) 565-1005

Fax

(718) 565-1004

NPI assigned

Feb 19, 2008

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) 565-1009

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• QUEENS EXPRESS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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
• Carolina Khalil

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1033034384
  NPD (past)
• Omar Korban

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1972258598
  NPD (past)
• Paul Mina, PHARMACIST

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1669743043
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1649448143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723829",
            "telephone_number": "718-565-1005",
            "fax_number": "718-565-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723829",
            "telephone_number": "718-565-1005",
            "fax_number": "718-565-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS EXPRESS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "WANAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-565-1009"
    },
    "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": "028747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070136",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2957880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, 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 8, 2018; 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.