37TH Ave. Pharmacy Inc.

Key facts

NPI

1982015533

Entity type

Organization (NPI type 2)

Primary specialty

Pharmacy 333600000X

Legal business name

37TH AVE. PHARMACY INC.

Practice address

95-07 Roosevelt Ave
Jackson Heights, NY 11372

Phone

(718) 424-8684

Fax

(718) 779-7052

NPI assigned

May 16, 2014

Organization subpart

No

Authorized official

Name

Mrs. Alba Ester Flores

Title

President

Phone

(718) 424-8684

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2019.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1982015533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-07 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-8684",
            "fax_number": "718-779-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-07 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-8684",
            "fax_number": "718-779-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "37TH AVE. PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ALBA",
        "authorized_official_middle_name": "ESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-424-8684",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03924687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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