Organization Active NPI

Pert Pharmacy Inc

  • Community/Retail Pharmacy
  • Fresh Meadows, NY
National Provider Identifier
1689182677
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PERT PHARMACY INC
Practice address
17625 Union Tpke # 406
Fresh Meadows, NY 11366-1515
Phone
(917) 593-5215
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Johnny Perez
Title
Owner
Phone
(917) 593-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17625 Union Tpke # 406
Fresh Meadows, NY 11366-1515

Mailing address

17625 Union Tpke # 406
Fresh Meadows, NY 11366-1515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1689182677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 UNION TPKE # 406",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 UNION TPKE # 406",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515",
            "telephone_number": "917-593-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-593-5215"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.