Organization Active NPI

Fortune Medical Supply LLC

  • Clinic Pharmacy
  • Long Island City, NY
National Provider Identifier
1104736115
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
FORTUNE MEDICAL SUPPLY LLC
Practice address
310 26TH Ave
Long Island City, NY 11102-4120
Phone
(646) 344-0609
NPI assigned
Sep 10, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Eugene Barnes
Title
Ceo
Phone
(646) 344-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

310 26TH Ave
Long Island City, NY 11102-4120

Mailing address

310 26TH Ave
Long Island City, NY 11102-4120
Phone (646) 344-0609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1104736115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 26TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111024120",
            "telephone_number": "646-344-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 26TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111024120",
            "telephone_number": "646-344-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-344-0609"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.