Organization Active NPI

Morami Pharmacy, Inc

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1225109416
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MORAMI PHARMACY, INC
Practice address
4030 Murray St
Flushing, NY 11354-4934
Phone
(718) 886-9100
Fax
(718) 886-5775
NPI assigned
Nov 11, 2006
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Mr. Yu Kim, RPHNPI 1457440927
Title
Supervising Pharmacist
Phone
(718) 886-9100

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
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

4030 Murray St
Flushing, NY 11354-4934

Mailing address

4030 Murray St
Flushing, NY 11354-4934
Phone (718) 886-9100

Other identifiers 2

IdentifierTypeStateIssuer
01753300MedicaidNY
023314OtherNYSTATE LICENSE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930019370 NY DME Supplier - Pharmacy 3779799341 Practice locations: Flushing, NY
O20150305000663 NY Part B Supplier - Pharmacy 3779799341 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
Morami Pharmacy, Inc4030 Murray St, Flushing, NY 11354-4934(718) 889-9100 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 15, 2015

National Provider Directory

National Provider Directory

Locations

14473 Northern Blvd
Flushing, NY 11354
Phone (718) 886-9100

4030 Murray St
Flushing, NY 11354
Phone (718) 886-9100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1225109416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MURRAY ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544934",
            "telephone_number": "718-886-9100",
            "fax_number": "718-886-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MURRAY ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544934",
            "telephone_number": "718-886-9100",
            "fax_number": "718-886-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAMI PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YU",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-886-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753300",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "023314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2023; 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.