Roosevelt Drug Corp
Community/Retail Pharmacy
74 19 Roosevelt Ave, Jackson Heights
New York, 11372-6529
718-424-1291 718-898-1860
Roosevelt Drug Corp is a Community/Retail Pharmacy in Jackson Heights, New York. It is located at 74 19 Roosevelt Ave, Jackson Heights and it's customer support contact number is 718-424-1291. The authorized person of Roosevelt Drug Corp is Shujaat Mir who is President of the pharmacy and his contact number is 718-424-1291. Active license number of Roosevelt Drug Corp is 035080 for Community/Retail Pharmacy in New York. Roosevelt Drug Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Roosevelt Drug Corp is 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.
Pharmacy Details:
Roosevelt Drug Corp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Roosevelt Drug Corp |
| Type: | Community/Retail Pharmacy |
| Location: | 74 19 Roosevelt Ave, Jackson Heights,
New York, 11372-6529 |
| Phone: | 718-424-1291 |
| Fax: | 718-898-1860 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shujaat Mir |
| Position: | President |
| Contact Number: | 718-424-1291 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1134673965 |
| NPI Enumeration Date: | 10 Aug, 2016 |
| NPI Last Update On: | 31 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roosevelt Drug Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 035080 | New York | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2166657 | Other | | Pk |
Medicare Enrollment:
Roosevelt Drug Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7517238322 | O20170811001318 | Roosevelt Drug Corp | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 74 19 Roosevelt Ave,
Jackson Heights, New York |
| Zip: | 11372-6529 |
| Phone Number: | 718-424-1291 |
| Fax Number: | 718-898-1860 |
Patients can reach Roosevelt Drug Corp at
74 19 Roosevelt Ave, Jackson Heights, New York or can
call on customer care at 718-424-1291.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.