Premium Pharmacy 2 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035403 Issued in NY

Legal business name

PREMIUM PHARMACY 2 INC

Practice address

3720 Main St
Flushing, NY 11354-4107

Phone

(718) 886-7178

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Siu

Title

President

Phone

(718) 886-7178

Specialties & licenses 1

Addresses

Other names 1

• premium pharmacy 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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

• Johnny Luo

  • Pharmacist
  • Flushing, NY
  • NPI 1023272622
  NPD

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1104347483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544107",
            "telephone_number": "718-886-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PHARMACY 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "SIU",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-7178",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "premium pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premium Home Services Cdpap LLC
• Premium Medical Care, P.C.
• Premium Medical Care, PC
• Premium Medical of New York PC
• Premium Medical of Ny,PC
• Premium Pharmacy Inc
• Angel G Premkumar, MD
• Lewis Prescott, LCSW
• Prescription Headquarters Flushing Plaza Inc
• Prestige Medical Supplies LLC

• 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 19, 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.