Active NPI
Long Life Pharmacy Inc.
- Pharmacist
- New York, NY
National Provider Identifier
1184787426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018933
- Legal business name
- LONG LIFE PHARMACY INC.
- Practice address
- 72 Mott St
New York, NY 10013-6500 - Phone
- (212) 925-8532
- NPI assigned
- Dec 18, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Vincent Leong, R.PH.
- Title
- Pharmacist
- Phone
- (212) 925-8532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 018933 | NY | Primary |
Addresses
Primary practice location
72 Mott St
New York, NY 10013-6500
Mailing address
72 Mott St
New York, NY 10013-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00930901 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- New York, NY
- NPI 1649592080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184787426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 MOTT ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100136500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MOTT ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100136500",
"telephone_number": "212-925-8532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG LIFE PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEONG",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "212-925-8532",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "018933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00930901",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.