EBI PHARMACY & SUPERMARKET INC (NPI# 1730481847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730481847 |
| Entity Type | Organization |
| Organization Name | EBI PHARMACY & SUPERMARKET INC |
| Other Organization Name | EBI PHARMACY & SUPERMARKET INC. |
| Practice Address |
21620 Hillside Ave Queens Village NY 11427-1947 |
| Practice Telephone | 7182177700 |
| Practice Fax Number | 7182176861 |
| Mailing Telephone | 7182177700 |
| Mailing Fax Number | 7182176861 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | CHARLES IGBODO (PRESIDENT) |
| Authorized Official Telephone | 7182177700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
030373 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5801370 | 01 |
| Other Name | Type Code |
|---|---|
| EBI PHARMACY & SUPERMARKET INC. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EBI PHARMACY & SUPERMARKET INC. | 216-20 Hillside Avenue, Queens Village, Ny 11428 |
| Street Address |
21620 HILLSIDE AVE |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801304902 | Health Script Pharmacy Inc | Pharmacy | 21433 Jamaica Ave, Queens Village, NY 11428-1733 | 2018-01-11 |
| 1457866337 | Ahv Pharmacy, Inc | Pharmacy | 11150 Springfield Blvd, Queens Village, NY 11429-2542 | 2017-12-13 |
| 1477077949 | G & M Business Inc | Pharmacy | 220-08 Hempstead Ave, Queens Village, NY 11429-2119 | 2017-07-27 |
| 1730579368 | Fk Pharmacy Inc | Pharmacy | 21409 Jamaica Ave, Queens Village, NY 11428-1726 | 2015-02-03 |
| 1538599303 | Edelsie Pharmacy Inc | Pharmacy | 11228 Francis Lewis Blvd, Queens Village, NY 11429-2224 | 2013-11-15 |
| 1588944326 | Hillside Pharmacy Inc | Pharmacy | 22036 Hillside Ave, Queens Village, NY 11427-2020 | 2011-08-25 |
| 1750526869 | R & D Brothers Inc | Pharmacy | 11210 Springfield Blvd, Queens Village, NY 11429-2650 | 2008-12-04 |
| 1275158693 | County Pharmacy Corp. | Pharmacy | 22008 Hempstead Ave, Queens Village, NY 11429-2119 | 2020-06-11 |
| 1215587159 | Llm Rx Inc. | Pharmacy | 21913 Jamaica Ave, Queens Village, NY 11428-2126 | 2019-09-12 |
| 1023666930 | Spring Rx Inc | Pharmacy | 11150 Springfield Blvd, Queens Village, NY 11429-2542 | 2019-09-04 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
Please comment or provide details below to improve the information on EBI PHARMACY & SUPERMARKET INC.
| 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.