Organization Active NPI

Eastern Pharmacy Inc

Doing business as United Dhaka Pharmacy

  • Pharmacy
  • Jamaica, NY
National Provider Identifier
1881137875
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
035006 Issued in NY
Legal business name
EASTERN PHARMACY INC
Doing business as
United Dhaka Pharmacy
Practice address
15913 Hillside Ave
Jamaica, NY 11432-3935
Phone
(917) 396-4944
Fax
(917) 396-4926
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Mahbub Zaman KhundkarNPI 1558648162
Title
President
Phone
(786) 252-3357

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
Pharmacy 333600000X 035006 NY Primary

Addresses

Primary practice location

15913 Hillside Ave
Jamaica, NY 11432-3935

Mailing address

15913 Hillside Ave
Jamaica, NY 11432-3935
Phone (917) 396-4944

Other identifiers 1

IdentifierTypeStateIssuer
04731297MedicaidNY

Other names 1

  • United Dhaka Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20170601000174 NY DME Supplier - Pharmacy 7810264512 Practice locations: Jamaica, NY
O20181022000872 NY Part B Supplier - Pharmacy 7810264512 Practice locations: Jamaica, NY
O20210722001108 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7810264512 Practice locations: Jamaica, 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
Eastern Pharmacy, Inc15913 Hillside Ave, Jamaica, NY 11432-3935(917) 396-4944 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 22, 2017

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4504 Greenpoint Ave
Sunnyside, NY 11104
Phone (917) 396-4944

Practitioners & affiliated clinicians

Practitioners 1

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": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1881137875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15913 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323935",
            "telephone_number": "917-396-4944",
            "fax_number": "917-396-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15913 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323935",
            "telephone_number": "917-396-4944",
            "fax_number": "917-396-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "KHUNDKAR",
        "authorized_official_first_name": "MAHBUB",
        "authorized_official_middle_name": "ZAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-252-3357"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "035006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04731297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dhaka Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 2021; 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.