Organization Active NPI

Good Friend Pharmacy Corp

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1164134102
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOOD FRIEND PHARMACY CORP
Practice address
136-08 Northern Blvd
Flushing, NY 11354
Phone
(718) 799-0928
Fax
(718) 799-0929
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Ms. Ya Hsing Wang
Title
President
Phone
(718) 799-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

136-08 Northern Blvd
Flushing, NY 11354

Mailing address

136-08 Northern Blvd
Flushing, NY 11354
Phone (718) 799-0928

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230307001662 NY Part B Supplier - Pharmacy 1456724707 Practice locations: Flushing, NY
O20230627002529 NY DME Supplier - Pharmacy 1456724707 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13608 Northern Blvd
Flushing, NY 11354
Phone (718) 799-0928

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": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1164134102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-08 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-799-0928",
            "fax_number": "718-799-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-08 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-799-0928",
            "fax_number": "718-799-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FRIEND PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YA HSING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-799-0928",
        "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": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.