Organization Active NPI

Rosvolos Pharmacy Inc

  • Pharmacist
  • Jamaica, NY
National Provider Identifier
1710097639
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031301 Issued in NY
Legal business name
ROSVOLOS PHARMACY INC
Practice address
16901 Jamaica Ave
Jamaica, NY 11432-5217
Phone
(718) 297-6620
Fax
(718) 297-3156
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Gulzar Mohammed
Title
Pharmacist
Phone
(718) 297-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 031301 NY Primary

Addresses

Primary practice location

16901 Jamaica Ave
Jamaica, NY 11432-5217

Mailing address

16901 Jamaica Ave
Jamaica, NY 11432-5217
Phone (718) 297-6620

Other identifiers 1

IdentifierTypeStateIssuer
00259196MedicaidNY

National Provider Directory

National Provider Directory

Locations

16901 Jamaica Ave
Jamaica, NY 11432
Phone (718) 297-6620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1710097639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325217",
            "telephone_number": "718-297-6620",
            "fax_number": "718-297-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325217",
            "telephone_number": "718-297-6620",
            "fax_number": "718-297-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSVOLOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "GULZAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-297-6620"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00259196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.