Active NPI
Amazon Pharmacy Inc.
- Community/Retail Pharmacy
- Sunnyside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17030141
- Legal business name
- AMAZON PHARMACY INC.
- Practice address
- 42-10 43Rd Ave
Sunnyside, NY 11104 - Phone
- (718) 768-0707
- Fax
- (718) 786-0709
- NPI assigned
- Jun 11, 2010
- Last updated
- Jun 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gigliola M Dolmaian
- Title
- President
- Phone
- (718) 986-3433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 17030141 | NY | Primary |
Addresses
Primary practice location
42-10 43Rd Ave
Sunnyside, NY 11104
Mailing address
42-10 43Rd Ave
Sunnyside, NY 11104
Phone (718) 768-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03261007 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101104001687 | NY | DME Supplier - Pharmacy | 9931393774 | Practice locations: Sunnyside, NY |
National Provider Directory
National Provider DirectoryLocations
4210 43rd Ave
Sunnyside, NY 11104
Phone (718) 768-0707
4310 Queens Blvd
Sunnyside, NY 11104
Phone (718) 786-0707
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Neonatal-Perinatal Medicine Physician
- Flushing, NY
- NPI 1508816646
-
- Pharmacist
- New York, NY
- NPI 1427609767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656547200000",
"number": "1851612915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42-10 43RD AVE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "11104",
"telephone_number": "718-768-0707",
"fax_number": "718-786-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42-10 43RD AVE",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "11104",
"telephone_number": "718-768-0707",
"fax_number": "718-786-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZON PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-11",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "DOLMAIAN",
"authorized_official_first_name": "GIGLIOLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-986-3433"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "17030141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03261007",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.