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108 PHARMACY INC
NPI 1962163980
Pharmacy - Community/Retail Pharmacy in Corona, NY

Active since January 02, 2022
4502 108TH ST, CORONA, NY 11368(718) 450-2108(718) 450-2108 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2023, Jan 12, 2022, Jan 2, 2022 (3 updates tracked since 2022).

About 108 Pharmacy Inc NPPES

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

108 PHARMACY INC (NPI 1962163980) is a healthcare organization registered as a community/retail pharmacy in Corona, New York and active in the NPI registry since January 2022. The organization lists Roman Badalov, Owner, as its authorized official.

NPPES Registry Identity

NPI1962163980
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name108 PHARMACY INC
Location Address4502 108TH STCorona, NY 11368-2917
Mailing Address4502 108th StCorona, NY 11368-2917 · (718) 847-1982 · Fax (718) 228-4985
Phone(718) 450-2108
Fax(718) 450-2108
Organization SubpartNo
Authorized OfficialRoman BadalovOwner · (718) 847-1982
Enumeration DateJanuary 2, 2022
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1962163980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4502 108TH ST, Corona, NY 11368
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

108 PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
4502 108TH ST
CORONA, NY 11368
Queens County (718) 847-1982
BT DRUGS, INC.
Pharmacy (Community/Retail Pharmacy)
4502 108TH ST
CORONA, NY 11368
Queens County (718) 847-1982
JAMES P KEEGAN RPH
Pharmacist
4502 108TH ST
CORONA, NY 11368
Queens County (718) 847-1982

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 108 Pharmacy Inc's NPI number?

The NPI number for 108 Pharmacy Inc is 1962163980. It was assigned to this organization in the NPPES registry on January 2, 2022.

Where is 108 Pharmacy Inc located?

108 Pharmacy Inc is located at 4502 108th St, Corona, NY 11368. The listed phone number is (718) 450-2108.

What is 108 Pharmacy Inc's specialty?

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

What insurance does 108 Pharmacy Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 15 other insurers list 108 Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 108 Pharmacy Inc was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.