M & M Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

026169 Issued in NY

Legal business name

M & M PHARMACY LLC

Practice address

10104 Queens Blvd
Forest Hills, NY 11375-2749

Phone

(718) 997-8200

Fax

(718) 997-8080

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Margo Igin, PHARM.

Title

Pharmasict

Phone

(718) 997-8200

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1164412953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752749",
            "telephone_number": "718-997-8200",
            "fax_number": "718-997-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752749",
            "telephone_number": "718-997-8200",
            "fax_number": "718-997-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "IGIN",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "PHARMASICT",
        "authorized_official_telephone_number": "718-997-8200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "026169",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3333856",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02426057",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "026169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Lynch, OTR/L
• Lynn Ang
• Natalia Lysogorskaia
• Aleksandra Konstantinova Lyubenova
• Lyudmila Kogan, SLP LLC
• M & R Kids LLC
• Amy X Ma, DNP
• Kaleena Ma
• Kueiting Alice Ma, RD
• Wing Yan Ma

• Pharmacy in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.