Organization Active NPI

Lams Lab LLC

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1174536890
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026822 Issued in NY
Legal business name
LAMS LAB LLC
Practice address
4630 Kissena Blvd
Flushing, NY 11355-3421
Phone
(718) 888-1918
Fax
(718) 888-9348
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Dr. Chung Lam, PHARM.D.NPI 1285887893
Title
Supervising Pharmacist
Phone
(718) 888-1918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 026822 NY Primary

Addresses

Primary practice location

4630 Kissena Blvd
Flushing, NY 11355-3421

Mailing address

4630 Kissena Blvd
Flushing, NY 11355-3421
Phone (718) 888-1918

Other identifiers 1

IdentifierTypeStateIssuer
02579486MedicaidNY

Other names 1

  • Horizon Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930061742 NY DME Supplier - Pharmacy 3274742648 Practice locations: Flushing, NY
O20110307000355 NY Part B Supplier - Pharmacy 3274742648 Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Horizon Pharmacy4630 Kissena Blvd, Flushing, NY 11355-3421(718) 888-1918 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Power Operated Vehicles … Does not accept assignmentParticipating since Nov 10, 2004

National Provider Directory

National Provider Directory

Locations

4630 Kissena Blvd
Flushing, NY 11355
Phone (718) 888-1918

4630 Kissena Blvd
Ste 1
Flushing, NY 11355

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1174536890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553421",
            "telephone_number": "718-888-1918",
            "fax_number": "718-888-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553421",
            "telephone_number": "718-888-1918",
            "fax_number": "718-888-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-888-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02579486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2021; 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.