Alderton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030923 Issued in NY

Legal business name

ALDERTON PHARMACY LLC

Doing business as

ALDERTON PHARMACY

Practice address

9110 63Rd Dr
Rego Park, NY 11374-3850

Phone

(718) 896-8500

Fax

(718) 896-8508

NPI assigned

Sep 30, 2011

Organization subpart

No

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

Authorized official

Name

Oleg Shliperman

Title

Member

Phone

(646) 734-5835

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ALDERTON PHARMACY Doing business as

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1730463340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 64TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742544",
            "telephone_number": "718-896-8500",
            "fax_number": "718-896-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743850",
            "telephone_number": "718-896-8500",
            "fax_number": "718-896-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "SHLIPERMAN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-734-5835"
    },
    "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": "030923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5803588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALDERTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 18, 2012; 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.