Organization Active NPI

Orange Eight Pharmacy LLC

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1255194593
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ORANGE EIGHT PHARMACY LLC
Doing business as
orange eight pharmacy llc
Practice address
312 New Dorp LN
Staten Island, NY 10306-3036
Phone
(347) 825-3918
Fax
(347) 825-3861
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Man Man Yu
Title
Owner
Phone
(347) 268-8839

Specialties & licenses 1

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

Addresses

Primary practice location

312 New Dorp LN
Staten Island, NY 10306-3036

Mailing address

312 New Dorp LN
Staten Island, NY 10306-3036
Phone (825) 391-8347

Other names 1

  • orange eight pharmacy llc Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240625002993 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3072056555 Practice locations: Staten Island, NY
O20250130001251 NY DME Supplier - Pharmacy 3072056555 Practice locations: Staten Island, 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
Orange Eight Pharmacy LLC312 New Dorp LN, Staten Island, NY 10306-3036(347) 825-3918 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 18, 2024

National Provider Directory

National Provider Directory

Locations

312 New Dorp Ln
Staten Island, NY 10306
Phone (347) 825-3918

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1255194593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063036",
            "telephone_number": "825-391-8347",
            "fax_number": "347-825-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063036",
            "telephone_number": "347-825-3918",
            "fax_number": "347-825-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE EIGHT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MAN MAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-268-8839"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orange eight pharmacy llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.