Organization Active NPI

Medicmasters Pharmacy & Surgical Supplies Inc

Doing business as Medicmasters Pharmacy and Surgical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Jamaica, NY
National Provider Identifier
1952589251
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICMASTERS PHARMACY & SURGICAL SUPPLIES INC
Doing business as
Medicmasters Pharmacy and Surgical Supplies Inc
Practice address
16926 Jamaica Ave
Jamaica, NY 11432-5286
Phone
(718) 206-4121
Fax
(718) 206-4126
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Kaveeta Maharaj, RPHNPI 1215112099
Title
Supervising Pharmacist
Phone
(718) 206-4121

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 028734 NY

Addresses

Primary practice location

16926 Jamaica Ave
Jamaica, NY 11432-5286

Mailing address

16926 Jamaica Ave
Jamaica, NY 11432-5286
Phone (718) 206-4121

Other identifiers 1

IdentifierTypeStateIssuer
02960209MedicaidNY

Other names 1

  • MEDICMASTERS PHARMACY AND SURGICAL SUPPLIES INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528001680 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2062601677 Practice locations: Jamaica, NY

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952589251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16926 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325286",
            "telephone_number": "718-206-4121",
            "fax_number": "718-206-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16926 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325286",
            "telephone_number": "718-206-4121",
            "fax_number": "718-206-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICMASTERS PHARMACY & SURGICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAHARAJ",
        "authorized_official_first_name": "KAVEETA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-206-4121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02960209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICMASTERS PHARMACY AND SURGICAL SUPPLIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.