Organization Active NPI

Aj Woodhaven Chemist Inc

  • Pharmacy
  • Rego Park, NY
National Provider Identifier
1891404455
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Olga Zargarova, PHARMDNPI 1568890937
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.