Premier One Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PREMIER ONE PHARMACY INC.

Doing business as

Premium Pharmacy

Practice address

4112A Main St FL 1
Flushing, NY 11355-3348

Phone

(718) 886-7128

Fax

(718) 886-7138

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Justin Chan

Title

Owner

Phone

(718) 886-7128

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premium Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Haoyu Sun

  • Pharmacist
  • Flushing, NY
  • NPI 1174007058
  NPD (past)
• Ka Tak To

  • Pharmacist
  • Flushing, NY
  • NPI 1487101846
  NPD (past)

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1245523521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112A MAIN ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553348",
            "telephone_number": "718-886-7128",
            "fax_number": "718-886-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112A MAIN ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553348",
            "telephone_number": "718-886-7128",
            "fax_number": "718-886-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ONE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-886-7128"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6649030001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Precision Optometry PLLC
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• Premier Vision Consultants, LLC (nuEyes)
• Premiere Adult Daycare LLC
• Premise Health of New York Medical PC (Premise Health Clinic)
• Premise Health of New York Medical, P.C (New York Times Occupational Health Center)
• Premium Care

• Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.