Webster Ave. Pharmacy Corp.

Primary specialty

PharmacyTaxonomy code 333600000X

License

030398 Issued in NY

Legal business name

WEBSTER AVE. PHARMACY CORP.

Practice address

1231 Webster Ave
Bronx, NY 10456-3373

Phone

(718) 618-0802

Fax

(718) 618-0804

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Farooq Khawaja, B.S

Title

Pres

Phone

(718) 618-0802

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khawaja A Farooq, MD

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1447281308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1902108111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "718-618-0802",
            "fax_number": "718-618-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563373",
            "telephone_number": "718-618-0802",
            "fax_number": "718-618-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER AVE. PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-618-0802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF PHARMACY",
            "identifier": "030398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Rhey Takaisan Weber
• Kenisha M Weber, LMSW, LCSW
• Margaret Weber, AUDIOLOGIST
• Ronnie Martin Weber, NP
• Webster 123 Pharmacy Inc
• Webster Dental Plaza, P.C.
• Webster Pharmacy Inc.
• Webster RX Inc
• Webster RX Inc
• Webster Urgent Care, P.C.

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.