REALVALUE PATIENTS PHARMACY INC (NPI# 1255802153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255802153 |
| Entity Type | Organization |
| Organization Name | REALVALUE PATIENTS PHARMACY INC |
| Practice Address |
9401 37th Ave Unit 7 Jackson Heights NY 11372-7917 |
| Mailing Address |
9401 37th Ave # 7 Jackson Heights NY 11372-7917 |
| Practice Telephone | 3476991237 |
| Practice Fax Number | 3476991237 |
| Mailing Telephone | 3476991237 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MR. ASHOKA BENEDICT GOMES (CEO/ DOCTOR OF PHARMACY) |
| Authorized Official Telephone | 3476991237 |
| Authorized Official Credential | BS, MS, PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05493476 | 05 |
| Street Address |
9401 37TH AVE UNIT 7 |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-7917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1528604428 | La Gran Farmacia Inc | Pharmacy | 9110 37th Ave, Jackson Heights, NY 11372-7920 | 2019-11-26 |
| 1467917757 | Reyes Ny LLC | Pharmacy | 8425 Roosevelt Ave, Jackson Heights, NY 11372-7340 | 2019-01-31 |
| 1295221067 | Vida Sana Pharmacy Inc. | Pharmacy | 8820 37th Ave, Jackson Heights, NY 11372 | 2018-07-05 |
| 1417454885 | Apna Express Pharmacy Inc | Pharmacy | 7412 37th Ave, Jackson Heights, NY 11372-6340 | 2018-04-11 |
| 1124525589 | Tfl Pharmacy Inc | Pharmacy | 9009 37th Ave, Jackson Heights, NY 11372-7902 | 2018-04-11 |
| 1275078321 | Divina Farmacia Inc | Pharmacy | 8513 Northern Blvd, Jackson Heights, NY 11372-1537 | 2016-12-28 |
| 1891247433 | Advanced Rx, Inc. | Pharmacy | 76-12 Roosevelt Ave, Jackson Heights, NY 11372 | 2016-10-31 |
| 1669929170 | Stm Drug Corp | Pharmacy | 3705 83rd St, Jackson Heights, NY 11372-7141 | 2016-09-01 |
| 1134673965 | Roosevelt Drug Corp | Pharmacy | 74 19 Roosevelt Ave, Jackson Heights, NY 11372-6529 | 2016-08-10 |
| Find all providers in JACKSON HEIGHTS | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.