Jericho Tpke RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JERICHO TPKE RX INC

Doing business as

City Pharmacy

Practice address

9229 Queens Blvd Ste Cu13
Rego Park, NY 11374-1045

Phone

(917) 832-6753

Fax

(917) 832-6979

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Sergey Seropyans

Title

President

Phone

(917) 832-6753

Specialties & licenses 1

Addresses

Other names 1

• CITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Mariam Azimi, PHARMD

  • Pharmacist
  • Rego Park, NY
  • NPI 1982246914
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1740046853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD STE CU13",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741045",
            "telephone_number": "917-832-6753",
            "fax_number": "917-832-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD STE CU13",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741045",
            "telephone_number": "917-832-6753",
            "fax_number": "917-832-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO TPKE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SEROPYANS",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-832-6753"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sulin Jiang, FNP
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• Crystal A John, MSW

• 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 26, 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.