Organization Active NPI

Top Choice Pharmacy Corp

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1790077568
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030660 Issued in NY
Legal business name
TOP CHOICE PHARMACY CORP
Doing business as
Top Choice Pharmacy Corp.
Practice address
9706 Queens Blvd
Rego Park, NY 11374-3245
Phone
(718) 381-5100
Fax
(718) 381-5110
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Petr Fakhlayev
Title
President
Phone
(718) 381-5100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030660 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

9706 Queens Blvd
Rego Park, NY 11374-3245

Mailing address

9706 Queens Blvd
Rego Park, NY 11374-3245
Phone (718) 381-5100

Other identifiers 2

IdentifierTypeStateIssuer
03344790MedicaidNY
2130247OtherPK

Other names 1

  • Top Choice Pharmacy Corp. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110813000023 NY DME Supplier - Pharmacy 3971772617 Practice locations: Rego Park, NY
O20220805002318 NY Part B Supplier - Pharmacy 3971772617 Practice locations: Rego Park, 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
Top Choice Pharmacy Corp9706 Queens Blvd, Rego Park, NY 11374-3245(718) 381-5100 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since May 1, 2020

National Provider Directory

National Provider Directory

Locations

9706 Queens Blvd
Rego Park, NY 11374
Phone (718) 381-5100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1790077568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743245",
            "telephone_number": "718-381-5100",
            "fax_number": "718-381-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743245",
            "telephone_number": "718-381-5100",
            "fax_number": "718-381-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP CHOICE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "FAKHLAYEV",
        "authorized_official_first_name": "PETR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-381-5100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030660",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03344790",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Top Choice Pharmacy Corp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Top Choice Pharmacy Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.