Organization Active NPI

Ny Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1225181308
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NY FAMILY PHARMACY LLC
Practice address
14246 Roosevelt Ave
Flushing, NY 11354-6042
Phone
(718) 888-0808
NPI assigned
Jan 19, 2007
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Ounsil Leekim
Title
Owner
Phone
(718) 888-0808

Specialties & licenses 1

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

Addresses

Primary practice location

14246 Roosevelt Ave
Flushing, NY 11354-6042

Mailing address

14246 Roosevelt Ave
Flushing, NY 11354-6042
Phone (718) 888-0808

Other identifiers 1

IdentifierTypeStateIssuer
02385335MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930081758 NY DME Supplier - Pharmacy 9436364155 Practice locations: Flushing, NY
O20160627000984 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9436364155 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
Ny Family Pharmacy LLC14246 Roosevelt Ave, Flushing, NY 11354-6042(718) 888-0808 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Feb 29, 2016

National Provider Directory

National Provider Directory

Locations

14246 Roosevelt Ave
Flushing, NY 11354
Phone (718) 888-0808

Practitioners & affiliated clinicians

Practitioners 7

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1225181308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14246 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546042",
            "telephone_number": "718-888-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14246 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546042",
            "telephone_number": "718-888-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "LEEKIM",
        "authorized_official_first_name": "OUNSIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-888-0808"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02385335",
            "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 Jun 3, 2016; 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.