Organization Active NPI

Amazing Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1245741941
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035930 Issued in NY
Legal business name
AMAZING CARE PHARMACY INC
Practice address
13519 Roosevelt Ave
Flushing, NY 11354-5305
Phone
(718) 886-2826
Fax
(718) 321-3739
NPI assigned
Oct 20, 2017
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Min ShiNPI 1043860018
Title
SP
Phone
(718) 886-2826

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
Community/Retail Pharmacy 3336C0003X 035930 NY Primary

Addresses

Primary practice location

13519 Roosevelt Ave
Flushing, NY 11354-5305

Mailing address

13519 Roosevelt Ave
Flushing, NY 11354-5305
Phone (718) 886-2826

Other identifiers 1

IdentifierTypeStateIssuer
2174954OtherPK

Other names 1

  • AMAZING CARE PHARMACY Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180405001220 NY DME Supplier - Pharmacy 1658634530 Practice locations: Flushing, NY
O20220831000586 NY Part B Supplier - Pharmacy 1658634530 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
Amazing Care Pharmacy Inc13519 Roosevelt Ave, Flushing, NY 11354-6742(718) 886-2826 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 21, 2017

National Provider Directory

National Provider Directory

Locations

13519 Roosevelt Ave
Flushing, NY 11354
Phone (718) 445-7030

Practitioners & affiliated clinicians

Practitioners 3

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": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1245741941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13519 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545305",
            "telephone_number": "718-886-2826",
            "fax_number": "718-321-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13519 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545305",
            "telephone_number": "718-886-2826",
            "fax_number": "718-321-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "718-886-2826"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING CARE PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AMAZING CARE PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 28, 2020; 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.