Rockaway Blvd Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ROCKAWAY BLVD PHARMACY INC

Practice address

14102 Rockaway Blvd
South Ozone Park, NY 11436-1440

Phone

(718) 374-3121

Fax

(718) 674-6038

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Yuldosh Utamishev

Title

President

Phone

(718) 374-3121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles J Pantina, R.PH.

  • Pharmacist
  • South Ozone Park, NY
  • NPI 1124346291
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1962246777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361440",
            "telephone_number": "718-374-3121",
            "fax_number": "718-674-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114361440",
            "telephone_number": "718-374-3121",
            "fax_number": "718-674-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY BLVD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "UTAMISHEV",
        "authorized_official_first_name": "YULDOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-374-3121"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Reid
• Tania Reino
• Magda Elisa Reynoso
• RF Medical Practice
• Melodie Richards
• Rockaway Community Care Inc.
• Rockaway Community Care Inc.
• Rockaway Dental Associates, PC
• Rockaway Medical&Diagnostic, P.C.
• Estela M Rodriguez-Cabrera

• Pharmacy in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.