Organization Active NPI

Meridien Health Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1033810965
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERIDIEN HEALTH INC
Practice address
3620 Union St
Flushing, NY 11354-4294
Phone
(718) 285-3965
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Gao Ming Luan
Title
President
Phone
(718) 285-3965

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3620 Union St
Flushing, NY 11354-4294

Mailing address

3620 Union St
Flushing, NY 11354-4294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230405001532 NY Part B Supplier - Pharmacy 7214302256 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

3620 Union St
Flushing, NY 11354
Phone (718) 285-3965

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1033810965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544294",
            "telephone_number": "718-285-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIEN HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "LUAN",
        "authorized_official_first_name": "GAO MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-285-3965"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.