Active NPI
My Family Pharmacy Inc
- Community/Retail Pharmacy
- Jackson Heights, NY
National Provider Identifier
1104270487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MY FAMILY PHARMACY INC
- Practice address
- 8215 Northern Blvd
Jackson Heights, NY 11372-1457 - Phone
- (718) 440-9201
- Fax
- (718) 440-9882
- NPI assigned
- Apr 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolani Merlino
- Title
- President
- Phone
- (718) 440-9201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
8215 Northern Blvd
Jackson Heights, NY 11372-1457
Mailing address
8215 Northern Blvd
Jackson Heights, NY 11372-1457
Phone (718) 440-9201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170105001091 | NY | DME Supplier - Pharmacy | 2062793029 | Practice locations: Jackson Heights, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| My Family Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
8215 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 440-9201
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Technician
- Bronx, NY
- NPI 1487998118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1104270487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 NORTHERN BLVD",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721457",
"telephone_number": "718-440-9201",
"fax_number": "718-440-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 NORTHERN BLVD",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721457",
"telephone_number": "718-440-9201",
"fax_number": "718-440-9882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY FAMILY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-22",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "MERLINO",
"authorized_official_first_name": "YOLANI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-440-9201"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.