Active NPI
Aj Woodhaven Chemist Inc
- Pharmacy
- Rego Park, NY
National Provider Identifier
1891404455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- AJ WOODHAVEN CHEMIST INC
- Practice address
- 62-43A Woodhaven Blvd
Rego Park, NY 11374 - Phone
- (917) 791-5151
- Fax
- (917) 791-5155
- NPI assigned
- Nov 22, 2022
- 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
- Olga Zargarova, PHARMD
- Title
- Owner
- Phone
- (917) 945-9919
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 | Primary |
Addresses
Primary practice location
62-43A Woodhaven Blvd
Rego Park, NY 11374
Mailing address
62-43A Woodhaven Blvd
Rego Park, NY 11374
Phone (917) 791-5151
Other names 1
- AJ Woodhaven Chemist 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 |
|---|---|---|---|---|
| O20230411000188 | NY | Part B Supplier - Pharmacy | 5991170631 | Practice locations: Rego Park, NY |
| O20230505002456 | NY | DME Supplier - Pharmacy | 5991170631 | Practice locations: Rego Park, NY |
| O20240104000131 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5991170631 | Practice locations: Rego Park, NY |
National Provider Directory
National Provider DirectoryLocations
6243A Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 779-6281
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
- Woodhaven, NY
- NPI 1568890937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1891404455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62-43A WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "917-791-5151",
"fax_number": "917-791-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62-43A WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "917-791-5151",
"fax_number": "917-791-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJ WOODHAVEN CHEMIST INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "ZARGAROVA",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-945-9919",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AJ Woodhaven Chemist Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.