Organization Active NPI

Yi Rui International Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1003001934
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028533 Issued in NY
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

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bo LinNPI 1568640662
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2069747OtherPK
2921171MedicaidNY

Other names 1

  • LINS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608000328 NY Part B Supplier - Pharmacy 6608071592 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.