MGL Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034786 Issued in NY

Legal business name

MGL PHARMACY INC

Doing business as

Park City Drugs

Practice address

6320 99TH St
Rego Park, NY 11374-1941

Phone

(718) 459-0911

Fax

(718) 459-0912

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Farrukh Rakhmatullaev

Title

Supervising Pharmacist

Phone

(718) 459-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park City Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Danar Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MGL Pharmacy Inc.

  • Community/Retail Pharmacy
  • Rego Park, NY
  • NPI 1447608864
  NPD tax ID

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1730135823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741941",
            "telephone_number": "718-459-0911",
            "fax_number": "718-459-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741941",
            "telephone_number": "718-459-0911",
            "fax_number": "718-459-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "RAKHMATULLAEV",
        "authorized_official_first_name": "FARRUKH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-459-0911"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park City Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park City Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metro Vision Express LLC
• Meyerovich Medical & Diagnostic PC
• Inessa Meyerovich, M.D.
• Naum Meyerovich, M.D
• Candace Therese Mezetin, MS,OTR/L
• MGL Pharmacy Inc.
• Michael I Katayev DDS.,PC
• Dena L Michnowich, LCSW
• Middle Village Diagnostic Imaging PC
• Refael Mihaelov

• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, 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 Feb 16, 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.