Mea Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEA PHARMACY INC

Practice address

8144 Lefferts Blvd
Kew Gardens, NY 11415-1730

Phone

(718) 480-1301

Fax

(718) 480-1302

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Larisa Shimanova

Title

President

Phone

(718) 480-1301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1992359202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151730",
            "telephone_number": "718-480-1301",
            "fax_number": "718-480-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151730",
            "telephone_number": "718-480-1301",
            "fax_number": "718-480-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "SHIMANOVA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-480-1301"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Callahan Martel, LCSW
• Miosotis Martinez
• Mariela Marzini, MS, SLP
• Ellen McBride
• Sean A McNair
• Lillian S Medina, CASAC-T
• Ghulam Mujtaba Mehmood, PA
• Raysean Mercer
• Metro Medical Practice PC
• Metro Shoe Repair

• Community/Retail Pharmacy in Kew Gardens, NY
• Providers in Kew Gardens, 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 Jul 25, 2019; 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.