Oakland Gardens Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034301 Issued in NY

Legal business name

OAKLAND GARDENS PHARMACY CORP

Practice address

22417A Union Tpke
Oakland Gardens, NY 11364-3631

Phone

(718) 749-5021

Fax

(718) 749-5024

NPI assigned

Jan 8, 2016

Organization subpart

No

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

Authorized official

Name

Yuriy Mosheyev

Title

President

Phone

(718) 749-5021

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Prime Drugs Doing business as

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1720444516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22417A UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643631",
            "telephone_number": "718-749-5021",
            "fax_number": "718-749-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22417A UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643631",
            "telephone_number": "718-749-5021",
            "fax_number": "718-749-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND GARDENS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "MOSHEYEV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-749-5021"
    },
    "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": "034301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sen Mett Obi Shaaim Maa, M.S., CCC-SLP
• Angela Oh
• Jaime Nicole Openden, M.S. CCC-SLP
• Beatrice Oriol
• Tristan Noel Oliva Pador, PT

• Community/Retail Pharmacy in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.