BOULEVARD 9229 LLC – NPI #1942847041
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.

BOULEVARD 9229 LLC is a pharmacy located in REGO PARK, NY. NPPES has assigned the NPI number 1942847041 to BOULEVARD 9229 LLC on December 08, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOULEVARD 9229 LLC below.

NPI Profile for
BOULEVARD 9229 LLC

NPI Number
1942847041
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOULEVARD 9229 LLC
Primary location
9229 QUEENS BLVD STE 1I
REGO PARK, NY 11374-1072
Phone: (347) 639-1663 Fax: (347) 639-0046
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ISHBAY SHUKUROV
PRESIDENT
Phone: (347) 639-1663
Updated
Certification Date
Dec 08, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.