Active NPI
Pharmacy Zdorovie Inc.
- Community/Retail Pharmacy
- Rego Park, NY
National Provider Identifier
1720851405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240810000025 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092253948 | Practice locations: Rego Park, NY |
National Provider Directory
National Provider DirectoryNPI 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.