Premium Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030059 Issued in NY

Legal business name

PREMIUM PHARMACY INC

Practice address

4110A Main St
Flushing, NY 11355-3167

Phone

(718) 886-7128

Fax

(718) 886-7138

NPI assigned

Mar 28, 2010

Organization subpart

No

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

Authorized official

Name

Johnny LuoNPI 1023272622

Title

Pharmacy Manager

Phone

(718) 886-7128

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premium Pharmacy Inc. Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Luo

  • Pharmacist
  • Flushing, NY
  • NPI 1023272622
  NPD Authorized official
• Haoyu Sun

  • Pharmacist
  • Flushing, NY
  • NPI 1174007058
  NPD (past)
• Ka Tak To

  • Pharmacist
  • Flushing, NY
  • NPI 1487101846
  NPD (past)

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1013232578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110A MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553167",
            "telephone_number": "718-886-7128",
            "fax_number": "718-886-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110A MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553167",
            "telephone_number": "718-886-7128",
            "fax_number": "718-886-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-28",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "718-886-7128"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5800099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premium Medical Care, P.C.
• Premium Medical Care, PC
• Premium Medical of New York PC
• Premium Medical of Ny,PC
• Premium Pharmacy 2 Inc
• Angel G Premkumar, MD
• Lewis Prescott, LCSW
• Prescription Headquarters Flushing Plaza Inc
• Prestige Medical Supplies LLC
• Prestige Pediatric Care P.C.

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, 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 Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.