Active NPI
Queens Health Center Pharmacy
- Clinic Pharmacy
- Long Island City, NY
National Provider Identifier
1881817880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 022939
- Legal business name
- QUEENS HEALTH CENTER PHARMACY
- Practice address
- 3711 Queens Blvd
Long Island City, NY 11101-1725 - Phone
- (718) 606-3863
- NPI assigned
- Apr 10, 2007
- Organization subpart
- Yes
- Parent organization
- NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NEW YORK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Jacobson, DMD
- Title
- Chief Executive Officer
- Phone
- (212) 586-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 022939 | NY | Primary |
Addresses
Primary practice location
3711 Queens Blvd
Long Island City, NY 11101-1725
Mailing address
305 W 44TH St
New York, NY 10036-5498
Phone (212) 586-6400
National Provider Directory
National Provider Directory- Tax ID family
- Queens Health Center Pharmacy
- Part of
- Queens Health Center Pharmacy
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1467719831
-
- Clinic Pharmacy
- Brooklyn, NY
- NPI 1700908829
-
- Clinic/Center
- New York, NY
- NPI 1417076233
-
- Clinic Pharmacy
- New York, NY
- NPI 1225257587
-
- Clinic/Center
- New York, NY
- NPI 1245453273
-
- Clinic/Center
- New York, NY
- NPI 1386902054
-
- Clinic Pharmacy
- New York, NY
- NPI 1538312749
-
- Clinic/Center
- Long Island City, NY
- NPI 1508224551
Locations
3711 Queens Blvd
Long Island City, NY 11101
Phone (718) 361-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1881817880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W 44TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100365498",
"telephone_number": "212-586-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 QUEENS BLVD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011725",
"telephone_number": "718-606-3863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS HEALTH CENTER PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NEW YORK",
"enumeration_date": "2007-04-10",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "212-586-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NY",
"license": "022939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
- Queenboro and Court Square Dental Associate, LLC
- Queens Coordinated Care Partners
- Queens Counseling for Change, LCSW, LLP
- Queens Counseling for Change, LCSW, LLP
- Queens Health Center
- Queens Heart Center
- Queens Plaza Optical
- Queens Radiology, PC
- Queensbridge Plaza Pharmacy Corp
- Queensbridge Plaza Pharmacy Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.