Skillman Chemists Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SKILLMAN CHEMISTS CORP

Practice address

4811 Skillman Ave
Sunnyside, NY 11104-1025

Phone

(718) 729-1400

Fax

(718) 729-9702

NPI assigned

Apr 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Vyacheslav Khaimov

Title

President

Phone

(718) 729-1400

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Skillman Chemists Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skillman Chemists Corp

  • Community/Retail Pharmacy
  • Sunnyside, NY
  • NPI 1558026146
  NPD tax ID

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1972123396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041025",
            "telephone_number": "718-729-1400",
            "fax_number": "718-729-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041025",
            "telephone_number": "718-729-1400",
            "fax_number": "718-729-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLMAN CHEMISTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-729-1400",
        "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": [
        {
            "organization_name": "Sunnyside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie K Simonson, PHARMD
• Sincere Occupational Therapy PLLC
• Prashamsa Singh
• Ben-Hur Verano Sison
• Skillman Chemists Corp
• Rajani Soudhagar
• Sunny Vision Optometry PC
• Sunnyside Citywide Home Care Services, Inc.
• Sunnyside Community Services, Inc.
• Sunnyside Dental, PC

• Community/Retail Pharmacy in Sunnyside, NY
• Providers in Sunnyside, 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 Nov 30, 2021; 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.