Organization Active NPI

Sunning Pharmacy Inc.

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1013547629
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUNNING PHARMACY INC.
Practice address
2241 Hylan Blvd
Staten Island, NY 10306-3228
Phone
(917) 565-8666
Fax
(917) 565-8685
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Wei Guo
Title
President
Phone
(917) 565-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2241 Hylan Blvd
Staten Island, NY 10306-3228

Mailing address

2241 Hylan Blvd
Staten Island, NY 10306-3228
Phone (917) 565-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200610002421 NY DME Supplier - Pharmacy 6204257637 Practice locations: Staten Island, NY
O20210412000785 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6204257637 Practice locations: Staten Island, NY
O20220509002221 NY Part B Supplier - Pharmacy 6204257637 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Sunning Pharmacy Inc.2241 Hylan Blvd, Staten Island, NY 10306-3228(917) 565-8666 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 1, 2022

National Provider Directory

National Provider Directory

Member organizations 1

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

Locations

2241 Hylan Blvd
Staten Island, NY 10306
Phone (917) 565-8666

1836 Hylan Blvd
Ste B
Staten Island, NY 10305
Phone (917) 565-8666

Practitioners & affiliated clinicians

Practitioners 2

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": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1013547629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063228",
            "telephone_number": "917-565-8666",
            "fax_number": "917-565-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063228",
            "telephone_number": "917-565-8666",
            "fax_number": "917-565-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNING PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "WEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-565-8666"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.