Active NPI
Healthy Life Pharmacy Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1174805865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031003
- Legal business name
- HEALTHY LIFE PHARMACY INC
- Practice address
- 65 Mott St
New York, NY 10013-4837 - Phone
- (212) 285-0977
- Fax
- (212) 285-0994
- NPI assigned
- Sep 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wai Yung Lau
- Title
- President
- Phone
- (212) 285-0977
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 031003 | NY | Primary |
Addresses
Primary practice location
65 Mott St
New York, NY 10013-4837
Mailing address
65 Mott St
New York, NY 10013-4837
Phone (212) 285-0977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5804302 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- PEOPLES PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000752 | NY | DME Supplier - Pharmacy | 1951561448 | Practice locations: New York, NY |
| O20220422000163 | NY | Part B Supplier - Pharmacy | 1951561448 | Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Healthy Life Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1164853057
-
- Pharmacist
- New York, NY
- NPI 1275815961
-
- Pharmacist
- New York, NY
- NPI 1659695690
-
- Pharmacist
- New York, NY
- NPI 1891122057
-
- Pharmacist
- New York, NY
- NPI 1275998015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648252800000",
"number": "1174805865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MOTT ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134837",
"telephone_number": "212-285-0977",
"fax_number": "212-285-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MOTT ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134837",
"telephone_number": "212-285-0977",
"fax_number": "212-285-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIFE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-19",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A",
"authorized_official_last_name": "LAU",
"authorized_official_first_name": "WAI YUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-285-0977"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "031003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5804302",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PEOPLES PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PEOPLES PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.