Booth Memorial Avenue Drugs Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

030752 Issued in NY

Legal business name

BOOTH MEMORIAL AVENUE DRUGS INC

Practice address

13528 Booth Memorial Ave
Flushing, NY 11355-5009

Phone

(718) 844-5907

NPI assigned

Jul 3, 2011

Organization subpart

No

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

Authorized official

Name

Shahzad Nawaz

Title

President

Phone

(718) 445-9070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• booth memorial pharmacy Doing business as

Locations

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309651200000",
    "number": "1730476359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13528 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555009",
            "telephone_number": "718-844-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13528 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555009",
            "telephone_number": "718-844-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH MEMORIAL AVENUE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-03",
        "last_updated": "2011-07-03",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-445-9070"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "030752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "030752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "booth memorial pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wai Loon Bong, PA
• Cassandra Bonilla
• Alexis Bonner, FNP-BC
• Marie Regine Bony Normil
• Booth Medical Associates PC
• Tatiana Borda
• Keera Borman
• Michael Borohov
• Borough Adult Day Care Inc.
• Eugene Wilson Borst V, MD, MPH

• Point of Service in Flushing, NY
• Providers in Flushing, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2011; 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.