Organization Active NPI

Debarim Inc

Doing business as Central Pharmacy

  • Community/Retail Pharmacy
  • Queens Village, NY
National Provider Identifier
1811661564
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DEBARIM INC
Doing business as
Central Pharmacy
Practice address
21874 Hempstead Ave
Queens Village, NY 11429-2166
Phone
(718) 464-0050
Fax
(718) 464-0045
NPI assigned
Aug 5, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Monica Renee, PH.D
Title
Manager
Phone
(718) 464-0050

Specialties & licenses 1

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

Addresses

Primary practice location

21874 Hempstead Ave
Queens Village, NY 11429-2166

Mailing address

21874 Hempstead Ave
Queens Village, NY 11429-2166
Phone (718) 464-0050

Other identifiers 1

IdentifierTypeStateIssuer
038965OtherNYLICENSE

Other names 1

  • Central Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OTHER Other

National Provider Directory

National Provider Directory

Locations

21874 Hempstead Ave
Queens Village, NY 11429
Phone (718) 464-0050

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1811661564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21874 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292166",
            "telephone_number": "718-464-0050",
            "fax_number": "718-464-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21874 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292166",
            "telephone_number": "718-464-0050",
            "fax_number": "718-464-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBARIM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "RENEE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-464-0050",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038965",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OTHER",
            "affiliation": "N",
            "endpointDescription": "OTHER",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "21874 Hempstead Ave",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114292166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.