Active NPI
Yi Rui International Corp
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1003001934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028533
- Legal business name
- YI RUI INTERNATIONAL CORP
- Practice address
- 4307 8TH Ave
Brooklyn, NY 11232-3909 - Phone
- (347) 221-0914
- Fax
- (341) 221-0915
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bo Lin
- Title
- President
- Phone
- (347) 221-0914
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 028533 | NY | Primary |
Addresses
Primary practice location
4307 8TH Ave
Brooklyn, NY 11232-3909
Mailing address
4307 8TH Ave
Brooklyn, NY 11232-3909
Phone (347) 221-0914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069747 | Other | PK | |
| 2921171 | Medicaid | NY |
Other names 1
- LINS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220608000328 | NY | Part B Supplier - Pharmacy | 6608071592 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
4307 8th Ave
Brooklyn, NY 11232
Phone (347) 221-0914
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1568640662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564358400000",
"number": "1003001934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4307 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112323909",
"telephone_number": "347-221-0914",
"fax_number": "341-221-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4307 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112323909",
"telephone_number": "347-221-0914",
"fax_number": "341-221-0915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YI RUI INTERNATIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2019-07-29",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "BO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-221-0914"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "028533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2069747",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2921171",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LINS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LINS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.