Active NPI
New Stage Pharmacy Inc
- Pharmacist
- Hollis, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10520
- Legal business name
- NEW STAGE PHARMACY INC
- Practice address
- 20419 Hillside Ave
Hollis, NY 11423-2213 - Phone
- (516) 658-6854
- NPI assigned
- Jan 30, 2008
- Last updated
- Jan 30, 2008
- 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
- Mr. Khosrow G Moghaddam
- Title
- President
- Phone
- (718) 465-2121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10520 | NY | Primary |
Addresses
Primary practice location
20419 Hillside Ave
Hollis, NY 11423-2213
Mailing address
20419 Hillside Ave
Hollis, NY 11423-2213
Phone (516) 658-6854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00261789 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Franhill Drugs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Hollis, NY
- NPI 1295903474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1912184193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20419 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232213",
"telephone_number": "516-658-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20419 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232213",
"telephone_number": "516-658-6854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW STAGE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "MOGHADDAM",
"authorized_official_first_name": "KHOSROW",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-465-2121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "10520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00261789",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.