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General NPI Number Information
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NPI Number | 1659626745
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Entity Type | Organization
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Legal Business Name | JACKSON HEIGHTS DRUGS INC.
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 7510 ROOSEVELT AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6536
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Country | US
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Telephone | 718-406-9393
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Fax | 718-406-9339
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Provider Business Mailing Address
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Address Line | 7510 ROOSEVELT AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6536
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Country | US
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Telephone | 718-406-9393
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Fax | 718-406-9339
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHAB AHMED
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Credential |
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Telephone | 718-406-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number | 031381
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 031381
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 031381
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 031381
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 031381
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 031381
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License Number State | NY
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