Organization Active NPI

Queenscare Pharmacy Corp

  • Community/Retail Pharmacy
  • Woodhaven, NY
National Provider Identifier
1902144280
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUEENSCARE PHARMACY CORP
Practice address
8446 Jamaica Ave
Woodhaven, NY 11421-1920
Phone
(718) 480-6597
Fax
(718) 480-6598
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mr. Mohammad A Uddin, MS / R.PHNPI 1255428330
Title
President
Phone
(718) 480-6597

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
Community/Retail Pharmacy 3336C0003X NY Primary

Addresses

Primary practice location

8446 Jamaica Ave
Woodhaven, NY 11421-1920

Mailing address

8446 Jamaica Ave
Woodhaven, NY 11421-1920
Phone (718) 480-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000262 NY DME Supplier - Pharmacy 0345485215 Practice locations: Woodhaven, 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
Queenscare Pharmacy Corp8446 Jamaica Ave, Woodhaven, NY 11421-1920(718) 480-6597 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 7, 2013

National Provider Directory

National Provider Directory

Locations

8446 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 480-6597

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": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1902144280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8446 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211920",
            "telephone_number": "718-480-6597",
            "fax_number": "718-480-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8446 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211920",
            "telephone_number": "718-480-6597",
            "fax_number": "718-480-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSCARE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-480-6597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS / R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.