<Unavail>

LBN: Queens Blvd Rx Corp.
<Unavail> is an health care organization with primary practice located at 12084 Queens Blvd , Kew Gardens NY 11415-1204. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Queens Blvd Rx Corp. can be contacted via phone (718) 872-9772, or through Ahmadi, Omar Sultan via phone (718) 872-9772.

Contact Information

Primary practice address
12084 Queens Blvd Kew Gardens NY 11415-1204
Phone: (718) 872-9772
Fax: (646) 813-1803
Website:
Map and Directions
Authorized official contact:
Name: Ahmadi, Omar Sultan
Phone: (718) 872-9772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1689486490
LBN Legal business name Queens Blvd Rx Corp.
DBA Doing business as <Unavail>
Authorized official Ahmadi, Omar Sultan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2025
Last updated Sep 30th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689486490 NPPES
New York MEDICAID 05112818

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