Corona Wellness Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035074 Issued in NY

Legal business name

CORONA WELLNESS PHARMACY CORP.

Practice address

9608 37TH Ave
Corona, NY 11368-1735

Phone

(917) 832-6560

Fax

(917) 832-6719

NPI assigned

Jan 28, 2017

Organization subpart

No

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

Authorized official

Name

Berenice Torres

Title

President

Phone

(347) 481-5558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485561600000",
    "number": "1952848962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 37TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681735",
            "telephone_number": "917-832-6560",
            "fax_number": "917-832-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 37TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681735",
            "telephone_number": "917-832-6560",
            "fax_number": "917-832-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA WELLNESS PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "BERENICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-481-5558"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corona Physical Therapy PC
• Corona RX 2 Inc
• Corona Social Center, Inc.
• Corona Social Day Care Inc.
• Corona Transportation Corp.
• Pedro A Corzo, M.D.
• Sam L Cosentino, DDS
• Crown City DME, LLC
• Jennifer Cruz
• Sherilyn Anne Secular Cruz

• Community/Retail Pharmacy in Corona, NY
• Providers in Corona, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.