Organization Active NPI

Labainc D/B/a Aly Marc Pharmacy

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1861430969
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LABAINC D/B/A ALY MARC PHARMACY
Practice address
17941 Hillside Ave
Jamaica, NY 11432-4631
Phone
(718) 291-1845
Fax
(718) 291-5606
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Mr. Nader Simani, PHNPI 1750605101
Title
Owner/Pharmacist
Phone
(718) 291-1845

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17941 Hillside Ave
Jamaica, NY 11432-4631

Mailing address

17941 Hillside Ave
Jamaica, NY 11432-4631
Phone (718) 291-1845

Other identifiers 1

IdentifierTypeStateIssuer
01513446MedicaidNY

National Provider Directory

National Provider Directory

Locations

17941 Hillside Ave
Jamaica, NY 11432
Phone (718) 291-1845

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1861430969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17941 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324631",
            "telephone_number": "718-291-1845",
            "fax_number": "718-291-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17941 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324631",
            "telephone_number": "718-291-1845",
            "fax_number": "718-291-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABAINC D/B/A ALY MARC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "SIMANI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "718-291-1845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01513446",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.