Ny88 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17031695 Issued in NY

Legal business name

NY88 LLC

Practice address

5737 Main St
Flushing, NY 11355-5332

Phone

(718) 799-0999

Fax

(718) 539-1919

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Tin Fook Lam

Title

President

Phone

(718) 799-0999

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MM Pharmacy Doing business as

Practitioners 2

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

• Chung Lui Lam, PHARMD

  • Pharmacist
  • Flushing, NY
  • NPI 1285887893
  NPD
• Jenna Lee

  • Pharmacist
  • Forest Hills, NY
  • NPI 1366094906
  NPD

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1013257286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555332",
            "telephone_number": "718-799-0999",
            "fax_number": "718-539-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555332",
            "telephone_number": "718-799-0999",
            "fax_number": "718-539-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY88 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2023-03-09",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "TIN",
        "authorized_official_middle_name": "FOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-799-0999"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "17031695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031695",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5806902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 9, 2023; 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.