Active NPI
Raindew Pharmacy LTD
- Community/Retail Pharmacy
- Bayside, NY
National Provider Identifier
1962586016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 018669
- Legal business name
- RAINDEW PHARMACY LTD
- Practice address
- 35-15 Francis Lewis Blvd
Bayside, NY 11577 - Phone
- (718) 539-7752
- Fax
- (718) 445-8250
- NPI assigned
- Oct 25, 2006
- 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. Frank Verni, RPH
- Title
- Supervising Pharmacist
- Phone
- (718) 539-7752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 018669 | NY | Primary |
Addresses
Primary practice location
35-15 Francis Lewis Blvd
Bayside, NY 11577
Mailing address
35-15 Francis Lewis Blvd
Bayside, NY 11577
Phone (718) 539-7752
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00900638 | Medicaid | NY | |
| 3383368 | Other | NY | NABP NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962586016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35-15 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11577",
"telephone_number": "718-539-7752",
"fax_number": "718-445-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35-15 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11577",
"telephone_number": "718-539-7752",
"fax_number": "718-445-8250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINDEW PHARMACY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VERNI",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-539-7752",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "018669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00900638",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "3383368",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.