Organization Active NPI

Chillpill Pharmacy & Supplies Inc.

  • Pharmacy
  • Queens Village, NY
National Provider Identifier
1851104673
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CHILLPILL PHARMACY & SUPPLIES INC.
Practice address
20708 Hollis Ave
Queens Village, NY 11429-1430
Phone
(347) 426-4516
Fax
(347) 548-0014
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Markiel Boroochov
Title
President
Phone
(347) 426-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

20708 Hollis Ave
Queens Village, NY 11429-1430

Mailing address

20708 Hollis Ave
Queens Village, NY 11429-1430
Phone (347) 426-4516

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250807002034 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3173021375 Practice locations: Queens Village, NY
O20251212000251 NY DME Supplier - Pharmacy 3173021375 Practice locations: Queens Village, 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
Chillpill Pharmacy & Supplies Inc20708 Hollis Ave, Queens Village, NY 11429-1430(347) 426-4516 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 1, 2025

National Provider Directory

National Provider Directory

Locations

20708 Hollis Ave
Queens Village, NY 11429
Phone (347) 426-4516

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1851104673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20708 HOLLIS AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291430",
            "telephone_number": "347-426-4516",
            "fax_number": "347-548-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20708 HOLLIS AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291430",
            "telephone_number": "347-426-4516",
            "fax_number": "347-548-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILLPILL PHARMACY & SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BOROOCHOV",
        "authorized_official_first_name": "MARKIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-426-4516"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2025; 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.