Prince Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRINCE PHARMACY INC.

Practice address

3907 Prince St Ste 1E
Flushing, NY 11354-5321

Phone

(718) 888-9596

Fax

(718) 888-9006

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Mindy ChuNPI 1609044601

Title

Supervising Pharmacist

Phone

(718) 888-9596

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Mindy Wen-Jie Chu

  • Pharmacist
  • Flushing, NY
  • NPI 1609044601
  NPD Authorized official

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1164735973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST STE 1E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545321",
            "telephone_number": "718-888-9596",
            "fax_number": "718-888-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST STE 1E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545321",
            "telephone_number": "718-888-9596",
            "fax_number": "718-888-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-888-9596"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "030265",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5800912",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03281436",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nanette Prince
• Roarke Prince, MD
• Prisma Health Inc
• Pristine Wigs
• Private Practice of Marcos a. Quinones, LCSW, PLLC

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, 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 Feb 6, 2012; 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.