Guardiola Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032938 Issued in NY

Legal business name

GUARDIOLA PHARMACY INC

Practice address

9312 Roosevelt Ave
Jackson Heights, NY 11372-7944

Phone

(718) 672-9700

Fax

(718) 672-9701

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Rogelio Fernandez

Title

President

Phone

(718) 672-9700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Guardiola Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baron Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Jackson Heights, NY
  • NPI 1356871818

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Baron Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Jackson Heights, NY
  • NPI 1356871818

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Baron, PHARMACIST

  • Pharmacist
  • New York, NY
  • NPI 1508049347
  NPD

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1649688144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9312 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727944",
            "telephone_number": "718-672-9700",
            "fax_number": "718-672-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727944",
            "telephone_number": "718-672-9700",
            "fax_number": "718-672-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIOLA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-672-9700"
    },
    "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": "032938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardiola Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Greenfeld, PHARM. D.
• Abigail L Gresla, LMSW
• Michael Grinman, PHARMD
• Caroline Ray Growney
• Charise Yvonne Guadarrama, PA
• Carlos E Guerra
• Paola Cristina Guevara, RN
• Gulistan Pharmacy Inc
• Cecilia Kilayko Gullas, R.N.
• Gulshan Ave LLC

• All providers in Jackson Heights, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.