Organization Active NPI

Healthmax Corporation

  • Pharmacist
  • Woodhaven, NY
National Provider Identifier
1720155393
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025237 Issued in NY
Legal business name
HEALTHMAX CORPORATION
Doing business as
HealthMax Pharmacy
Practice address
8007 Jamaica Ave
Woodhaven, NY 11421-1902
Phone
(718) 296-0400
Fax
(718) 296-2815
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Gary Stavin, R.PH.NPI 1750604575
Title
Secretary,Pharmacist
Phone
(718) 296-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 025237 NY Primary

Addresses

Primary practice location

8007 Jamaica Ave
Woodhaven, NY 11421-1902

Mailing address

8007 Jamaica Ave
Woodhaven, NY 11421-1902
Phone (718) 296-0400

Other identifiers 2

IdentifierTypeStateIssuer
02238035MedicaidNY
3324061OtherNYNCPDP

Other names 1

  • HealthMax Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930098173 NY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 7012120504 Practice locations: Woodhaven, NY
O20151120000831 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7012120504 Practice locations: Woodhaven, NY

National Provider Directory

National Provider Directory

Locations

8007 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 296-0400

Practitioners & affiliated clinicians

Practitioners 2

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1720155393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211902",
            "telephone_number": "718-296-0400",
            "fax_number": "718-296-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211902",
            "telephone_number": "718-296-0400",
            "fax_number": "718-296-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMAX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "STAVIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SECRETARY,PHARMACIST",
        "authorized_official_telephone_number": "718-296-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02238035",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3324061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthMax Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.