Woori Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030038 Issued in NY

Legal business name

WOORI PHARMACY LLC

Doing business as

Woori Pharmacy

Practice address

21915B Northern Blvd
Bayside, NY 11361

Phone

(718) 229-2001

Fax

(718) 229-5001

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Ashley E KimNPI 1881871309

Title

Pharmacist

Phone

(718) 229-2001

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WOORI PHARMACY 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 4

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

• Ashley E Kim

  • Pharmacist
  • Bayside, NY
  • NPI 1881871309
  NPD Authorized official
• Junho Suh

  • Pharmacist
  • Bayside, NY
  • NPI 1912147174
  NPD
• Alice H Lim

  • Pharmacist
  • Bayside, NY
  • NPI 1407405731
  NPD (past)
• Dongmi Won

  • Pharmacist
  • Bayside, NY
  • NPI 1750861589
  NPD (past)

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1144546193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21915B NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613525",
            "telephone_number": "718-229-2001",
            "fax_number": "718-229-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21915B NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-229-2001",
            "fax_number": "718-229-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOORI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-229-2001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030038",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030038",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "030038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124659",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3228517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOORI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOORI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Yee Won
• Edith Wong
• Jean Wong
• Mimi Wai Yee Wong, MA, CCC/SLP-TSSLD
• Rebecca Joy Wong
• Laurie Worby
• Chen Wu
• Jennifer Wu, PT
• Jimmy Wu, DPT
• Mei Yao Wu, RN, BSN, IBCLC, RLC

• Community/Retail Pharmacy in Bayside, NY
• Providers in Bayside, 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 Jun 8, 2018; 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.