Medilane Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023258 Issued in NY

Legal business name

MEDILANE PHARMACY CORP

Doing business as

Medilane Pharmacy

Practice address

204 Clinton St
New York, NY 10002-7576

Phone

(212) 571-2888

Fax

(212) 571-6881

NPI assigned

Aug 31, 2006

Last updated

Sep 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam FungNPI 1255564043

Title

Secretary

Phone

(212) 571-2888

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDILANE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• K and R United Corp

  dba Medilane Drugs

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1407925357

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Fung

  • Pharmacist
  • New York, NY
  • NPI 1255564043
  NPD (past) Authorized official
• Sammy Ye

  • Pharmacist
  • New York, NY
  • NPI 1205590577
  NPD (past)
• Andrew Yee

  • Pharmacist
  • New York, NY
  • NPI 1518490994
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1003928011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CLINTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027576",
            "telephone_number": "212-571-2888",
            "fax_number": "212-571-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CLINTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027576",
            "telephone_number": "212-571-2888",
            "fax_number": "212-571-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILANE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "212-571-2888"
    },
    "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": "023258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01741868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDILANE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medics Pharmacy Inc
• Medics Pharmacy Inc
• Mediexpress Pharmacy Corp (Mediexpress)
• Medifusion Corporation
• Medihill Inc
• Ana Marie Medina-Hernandez
• Natalie Medina-Minton, DSW, LCSW, BC-TMH
• Crisanta P Medina-Noel, APRN-BC
• Katherine Renee Medina-Pineda, LMHC
• Alex Tyler Medina, PT, DPT

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.