M & a Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025512 Issued in NY

Legal business name

M & A PHARMACY CORP

Practice address

96 02 Jamaica Ave
Woodhaven, NY 11421

Phone

(718) 805-7000

Fax

(718) 805-0257

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Albert BaronNPI 1598097321

Title

VP Pharmacist

Phone

(718) 805-7000

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• MEDEX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert Baron, RPH

  • Pharmacist
  • Woodhaven, NY
  • NPI 1598097321
  NPD (past) Authorized official
• Mikhail R Gavrilov, RPH

  • Pharmacist
  • Woodhaven, NY
  • NPI 1356673818
  NPD (past)
• Olga Zargarova, PHARMD

  • Pharmacist
  • Woodhaven, NY
  • NPI 1568890937
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1730122011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 02 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-805-7000",
            "fax_number": "718-805-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 02 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-805-7000",
            "fax_number": "718-805-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & A PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "VP PHARMACIST",
        "authorized_official_telephone_number": "718-805-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025512",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02348112",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDEX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucero Lopez
• Theresa Lugo-Phillip
• Lumix Pharmacy Inc.
• Siping Luo
• LV RX Inc
• January Magno, MS OTR/L
• Mohan Vasant Mahadkar, M.D.
• Elsie M Maisonet
• Gavril Malakov, PT
• Joseph Malakov

• Community/Retail Pharmacy in Woodhaven, NY
• Providers in Woodhaven, 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 Nov 30, 2016; 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.