Lindenview Raindew Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021484 Issued in NY

Legal business name

LINDENVIEW RAINDEW CORP

Doing business as

Raindew Pharmacy

Practice address

25 39 Parsons Blvd
Flushing, NY 11354-1296

Phone

(718) 762-8041

Fax

(718) 762-8130

NPI assigned

Jul 30, 2006

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel BassukNPI 1891018495

Title

SP

Phone

(718) 762-8041

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RAINDEW PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel D Bassuk, RPH

  • Pharmacist
  • Flushing, NY
  • NPI 1891018495
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1760497374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 39 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541296",
            "telephone_number": "718-762-8041",
            "fax_number": "718-762-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 39 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541296",
            "telephone_number": "718-762-8041",
            "fax_number": "718-762-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENVIEW RAINDEW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "BASSUK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "718-762-8041"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01424368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3326382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINDEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, 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 Mar 10, 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.