Rockaway Blvd Pharmacy INC
Pharmacy in South Ozone Park, NY. Organization (NPI-2).
NPI number1962246777
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1962246777
- Entity type
- Organization (NPI-2)
- Legal business name
- Rockaway Blvd Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
14102 Rockaway BlvdSouth Ozone Park, NY 11436-1440
Phone 718-374-3121 · Fax 718-674-6038
Mailing address
14102 Rockaway BlvdSouth Ozone Park, NY 11436-1440
Phone 718-374-3121 · Fax 718-674-6038
Authorized official
Yuldosh Utamishev
President
7183743121
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