Community Wellness Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

034044 Issued in NY

Legal business name

COMMUNITY WELLNESS PHARMACY INC

Practice address

15615 Aguilar Ave
Flushing, NY 11367-2727

Phone

(718) 380-2700

Fax

(718) 380-2701

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Rakmin Ilyabayev

Title

President

Phone

(718) 380-2700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ALL FOR YOU PHARMACY Doing business as

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1760922959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 AGUILAR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672727",
            "telephone_number": "718-380-2700",
            "fax_number": "718-380-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 AGUILAR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672727",
            "telephone_number": "718-380-2700",
            "fax_number": "718-380-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "ILYABAYEV",
        "authorized_official_first_name": "RAKMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-380-2700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034044",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL FOR YOU PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.