Active NPI
Eastern Pharmacy Inc
Doing business as United Dhaka Pharmacy
- Pharmacy
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 035006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahbub Zaman Khundkar
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04731297 | Medicaid | NY |
Other names 1
- United Dhaka Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eastern Pharmacy, Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember 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.
-
- Pharmacist
- Sunnyside, NY
- NPI 1558648162
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
- Early Childhood Intervention Services
- Early Childhood Intervention Services, PLLC
- East Coast Bone and Joint Surgeon PC
- East Ny Adult Daycare LLC. (Hand in Hand)
- Eastern Brooklyn Ipa LLC
- Seyed Amir Ebrahimzadeh, MD
- Okechukwu Samuel Echezona, M.D.
- Faye Edelson-Zuzworfky
- Paul Jeffrey Edelson, MD
- Doroty Edmond
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.