Organization Active NPI

L K Ampolex Inc

  • Pharmacy
  • Maspeth, NY
National Provider Identifier
1104951375
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
023687 Issued in NY
Legal business name
L K AMPOLEX INC
Practice address
6402 Flushing Ave
Maspeth, NY 11378-2833
Phone
(718) 416-1749
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Jin Ping Liang, RPH, SP
Title
Manager
Phone
(718) 416-1749

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 023687 NY
Pharmacy 333600000X 023687 NY Primary

Addresses

Primary practice location

6402 Flushing Ave
Maspeth, NY 11378-2833

Mailing address

6402 Flushing Ave
Maspeth, NY 11378-2833
Phone (718) 416-1749

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PrimeRx Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171113002103 NY Part B Supplier - Pharmacy 2769748417 Practice locations: Maspeth, NY
O20230811001961 NY DME Supplier - Pharmacy 2769748417 Practice locations: Maspeth, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
L K Ampolex Inc6402 Flushing Ave, Maspeth, NY 11378-2833(718) 416-1749 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Mar 7, 2023

National Provider Directory

National Provider Directory

Locations

6402 Flushing Ave
Maspeth, NY 11378
Phone (718) 416-1749

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1104951375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 FLUSHING AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782833",
            "telephone_number": "718-416-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 FLUSHING AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782833",
            "telephone_number": "718-416-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L K AMPOLEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "PING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-416-1749",
        "authorized_official_credential": "RPH, SP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "023687",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PrimeRx",
            "affiliation": "N",
            "endpointDescription": "Micro Merchant Systems (MMS)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6402 Flushing Ave",
            "city": "Maspeth",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113782833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.