Active NPI
Willis Scripts RX Inc
- Community/Retail Pharmacy
- Mineola, NY
National Provider Identifier
1114872413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WILLIS SCRIPTS RX INC
- Practice address
- 208 Willis Ave
Mineola, NY 11501-2637 - Phone
- (347) 497-3305
- Fax
- (347) 497-7129
- NPI assigned
- Mar 2, 2026
- 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
- Bohyeon Nam
- Title
- Owner
- Phone
- (347) 497-3305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
208 Willis Ave
Mineola, NY 11501-2637
Mailing address
208 Willis Ave
Mineola, NY 11501-2637
Phone (347) 497-3305
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1114872413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 WILLIS AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012637",
"telephone_number": "347-497-3305",
"fax_number": "347-497-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 WILLIS AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012637",
"telephone_number": "347-497-3305",
"fax_number": "347-497-7129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIS SCRIPTS RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-02",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "NAM",
"authorized_official_first_name": "BOHYEON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-497-3305"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.