Organization Active NPI

Pharmacy Zdorovie Inc.

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1720851405
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY ZDOROVIE INC.
Practice address
9109 63Rd Dr
Rego Park, NY 11374-3849
Phone
(347) 612-4318
Fax
(347) 612-4317
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Aaron Akilov
Title
Owner
Phone
(347) 612-4318

Specialties & licenses 1

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

Addresses

Primary practice location

9109 63Rd Dr
Rego Park, NY 11374-3849

Mailing address

9109 63Rd Dr
Rego Park, NY 11374-3849
Phone (347) 612-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240810000025 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5092253948 Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1720851405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "347-612-4318",
            "fax_number": "347-612-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "347-612-4318",
            "fax_number": "347-612-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ZDOROVIE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "AKILOV",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-612-4318"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.