86 Bobo Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

86 BOBO PHARMACY INC

Practice address

2170 86TH St
Brooklyn, NY 11214-3213

Phone

(347) 587-6275

Fax

(347) 587-6276

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Linjue HuaNPI 1487986568

Title

President

Phone

(347) 587-6275

Specialties & licenses 1

Addresses

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 3

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

• Linjue Hua, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1487986568
  NPD Authorized official
• Deyuan Zeng

  • Pharmacist
  • Brooklyn, NY
  • NPI 1851056113
  NPD
• Ming Feng Zheng, PHARMD, RPH

  • Pharmacist
  • New York, NY
  • NPI 1740997758
  NPD (past)

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1124648720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143213",
            "telephone_number": "347-587-6275",
            "fax_number": "347-587-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143213",
            "telephone_number": "347-587-6275",
            "fax_number": "347-587-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "86 BOBO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "HUA",
        "authorized_official_first_name": "LINJUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-587-6275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 86 Pharmacy Inc.
• 86 Street Dental PC
• 86St RX Inc.
• 86TH St Pharmacy Corp
• 86TH St. Vision Express, LLC

• All providers in Brooklyn, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.