Active NPI
Rosvolos Pharmacy Inc
- Pharmacist
- Jamaica, NY
National Provider Identifier
1710097639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 031301
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00259196 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Jamaica, NY
- NPI 1861941106
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.