Active NPI
Orange Eight Pharmacy LLC
- Community/Retail Pharmacy
- Staten Island, NY
National Provider Identifier
1255194593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Orange Eight Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.