Organization Active NPI

Merlin Drug Inc.

  • Durable Medical Equipment & Medical Supplies
  • Flushing, NY
National Provider Identifier
1073542841
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
026639 Issued in NY
Legal business name
MERLIN DRUG INC.
Practice address
13338 41St Rd
CS2
Flushing, NY 11355-3697
Phone
(718) 762-2883
Fax
(718) 762-5311
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Miss Carol M Ma, RPH
Title
President
Phone
(718) 762-2883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 026639 NY Primary

Addresses

Primary practice location

13338 41St Rd
CS2
Flushing, NY 11355-3697

Mailing address

13338 41St Rd
CS2
Flushing, NY 11355-3697
Phone (718) 762-2883

Other identifiers 1

IdentifierTypeStateIssuer
02544163MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000066 NY DME Supplier - Pharmacy 3577752864 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13338 41st Rd
Ste CS2
Flushing, NY 11355
Phone (718) 762-2883

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1073542841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13338 41ST RD",
            "address_2": "CS2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553697",
            "telephone_number": "718-762-2883",
            "fax_number": "718-762-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13338 41ST RD",
            "address_2": "CS2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553697",
            "telephone_number": "718-762-2883",
            "fax_number": "718-762-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERLIN DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-762-2883",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "026639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02544163",
            "state": "NY"
        }
    ],
    "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 Dec 17, 2010; 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.