Organization Active NPI

Pharmachoice Pharmacy Inc

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1891045126
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031473 Issued in NY
Legal business name
PHARMACHOICE PHARMACY INC
Doing business as
Steinway Street Pharmacy
Practice address
2578 Steinway St
Astoria, NY 11103-3774
Phone
(347) 738-6443
Fax
(347) 344-6922
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Misada Mansour
Title
Owner
Phone
(347) 738-6443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031473 NY Primary

Addresses

Primary practice location

2578 Steinway St
Astoria, NY 11103-3774

Mailing address

2578 Steinway St
Astoria, NY 11103-3774
Phone (347) 738-6443

Other identifiers 2

IdentifierTypeStateIssuer
2136904OtherPK
03499465MedicaidNY

Other names 1

  • Steinway Street 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
O20121206000453 NY DME Supplier - Pharmacy 1658523204 Practice locations: Astoria, NY
O20201216002433 NY Part B Supplier - Pharmacy 1658523204 Practice locations: Astoria, NY
O20231201001042 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1658523204 Practice locations: Astoria, 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
Pharmachoice Pharmacy Inc2578 Steinway St, Astoria, NY 11103-3774(347) 738-6443 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 22, 2012

National Provider Directory

National Provider Directory

Member organizations 1

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

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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1891045126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033774",
            "telephone_number": "347-738-6443",
            "fax_number": "347-344-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033774",
            "telephone_number": "347-738-6443",
            "fax_number": "347-344-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACHOICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MISADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-738-6443"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136904",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03499465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steinway Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.