Organization Active NPI

North Health Pharmacy Inc.

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1740025568
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTH HEALTH PHARMACY INC.
Practice address
1720 Hylan Blvd
Staten Island, NY 10305-1931
Phone
(718) 682-1161
Fax
(718) 682-1182
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dilshod Omonov
Title
President
Phone
(718) 682-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1720 Hylan Blvd
Staten Island, NY 10305-1931

Mailing address

1720 Hylan Blvd
Staten Island, NY 10305-1931
Phone (718) 682-1161

Other names 1

  • New Park Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240924002396 NY Part B Supplier - Pharmacy 1850832304 Practice locations: Staten Island, NY
O20250310001387 NY DME Supplier - Pharmacy 1850832304 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
North Health Pharmacy Inc1720 Hylan Blvd, Staten Island, NY 10305-1931(718) 682-1161 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 26, 2024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1740025568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051931",
            "telephone_number": "718-682-1161",
            "fax_number": "718-682-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051931",
            "telephone_number": "718-682-1161",
            "fax_number": "718-682-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HEALTH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "OMONOV",
        "authorized_official_first_name": "DILSHOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-682-1161"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.