Organization Active NPI

Pharmex Pharmacy Inc.

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1962034090
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMEX PHARMACY INC.
Practice address
142-08 Rockaway Blvd
Jamaica, NY 11436-1416
Phone
(917) 444-1985
Fax
(718) 504-4811
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Mr. Matthew Persaud
Title
President/Owner
Phone
(347) 846-3173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

142-08 Rockaway Blvd
Jamaica, NY 11436-1416

Mailing address

142-08 Rockaway Blvd
Jamaica, NY 11436-1416
Phone (917) 444-1985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200224002970 NY DME Supplier - Pharmacy 1951738327 Practice locations: Jamaica, NY
O20210129001683 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1951738327 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.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1962034090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-08 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361416",
            "telephone_number": "917-444-1985",
            "fax_number": "718-504-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-08 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361416",
            "telephone_number": "917-444-1985",
            "fax_number": "718-504-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMEX PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "347-846-3173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 10, 2020; 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.