Organization · Type 2 NPI

90-15 Roosevelt Pharmacy Corp

Community/Retail Pharmacy · Jackson Heights, NY

NPI number 1831201847 Active

Practice location

9015 Roosevelt Ave
Jackson Heights, NY 11372-7938

Fax (718) 898-9505

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	024229 (NY)

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 …

3 other providers at this address

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About NPI 1831201847

90-15 Roosevelt Pharmacy Corp's National Provider Identifier is 1831201847, issued on Aug 31, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jackson Heights, NY. The record was last updated on Sep 19, 2025.