QUEENS BLVD RX CORP.
NPI 1689486490
Pharmacy - Community/Retail Pharmacy in Kew Gardens, NY

Active since January 21, 2025
12084 QUEENS BLVD, KEW GARDENS, NY 11415(718) 872-9772(646) 813-1803 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Queens Blvd Rx Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEENS BLVD RX CORP. (NPI 1689486490), doing business as Prime Med Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Kew Gardens, New York and active in the NPI registry since January 2025. The organization lists Omar Sultan Ahmadi, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1689486490
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameQUEENS BLVD RX CORP.
Location Address12084 QUEENS BLVDKew Gardens, NY 11415-1204
Mailing Address12084 Queens BlvdKew Gardens, NY 11415-1204 · (718) 872-9772 · Fax (646) 813-1803
Fax(646) 813-1803
Organization SubpartNo
Authorized OfficialOmar Sultan AhmadiPharmacist · (718) 872-9772
Enumeration DateJanuary 21, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1689486490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
12084 QUEENS BLVD, Kew Gardens, NY 11415

Other Names 1

Doing Business AsPrime Med Pharmacy

Other Identifiers 1

Medicaid05112818NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
12084 QUEENS BLVD
KEW GARDENS, NY 11415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queens Blvd Rx Corp.'s NPI number?

The NPI number for Queens Blvd Rx Corp. is 1689486490. It was assigned to this organization in the NPPES registry on January 21, 2025. The provider is doing business as Prime Med Pharmacy.

Where is Queens Blvd Rx Corp. located?

Queens Blvd Rx Corp. is located at 12084 Queens Blvd, Kew Gardens, NY 11415. The listed phone number is (718) 872-9772.

What is Queens Blvd Rx Corp.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Queens Blvd Rx Corp. was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.