Organization Active NPI

Rey Pharmacy LLC

Doing business as New Grace Pharmacy

  • Community/Retail Pharmacy
  • Forest Hills, NY
National Provider Identifier
1871126649
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
REY PHARMACY LLC
Doing business as
New Grace Pharmacy
Practice address
6902 Austin St #2
Forest Hills, NY 11375-4250
Phone
(718) 480-6018
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Zhanna Shimonova
Title
Owner
Phone
(718) 480-6018

Specialties & licenses 1

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

Addresses

Primary practice location

6902 Austin St #2
Forest Hills, NY 11375-4250

Mailing address

6902 Austin St #2
Forest Hills, NY 11375-4250
Phone (718) 480-6018

Other names 1

  • New Grace Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

10 Grace Ave
Great Neck, NY 11021
Phone (516) 472-7688

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1871126649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST #2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754250",
            "telephone_number": "718-480-6018",
            "fax_number": "855-273-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST #2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754250",
            "telephone_number": "718-480-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "SHIMONOVA",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-480-6018"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Grace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.