Jae Il Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021251 Issued in NY

Legal business name

JAE IL PHARMACY INC

Practice address

4103 Union St
Flushing, NY 11355-2452

Phone

(718) 460-3825

Fax

(718) 762-5842

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Anne Park

Title

Supervising Pharmacist

Phone

(718) 460-3825

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CORNER PHARMACY Doing business as

Locations

Practitioners 3

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

• Anna Lee, RPH

  • Pharmacist
  • Flushing, NY
  • NPI 1770807448
  NPD (past)
• Hye Mi Oh

  • Pharmacist
  • Flushing, NY
  • NPI 1295004646
  NPD (past)
• Hwajin Park

  • Pharmacist
  • Flushing, NY
  • NPI 1467628065
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1215979513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552452",
            "telephone_number": "718-460-3825",
            "fax_number": "718-762-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552452",
            "telephone_number": "718-460-3825",
            "fax_number": "718-762-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE IL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-460-3825"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3321142",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01764974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shari Jacobs
• Barry L. Jacobson, DMD
• Sana Jadallah, MD
• Neisha A Jadoonanan, PT
• Jae Hong Min, M.D.,P.C.
• Jaeho Shin Chiropractic, PC
• Jaekwan Lee Physical Therapy PC
• Jaesae Acupuncture PC
• Amir K Jaffer, MD
• Ailya Batool Jafri

• 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 Jul 6, 2012; 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.