Organization Active NPI

JD Plus Pharmacy LLC

Doing business as JD Drugstore

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1255986790
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JD PLUS PHARMACY LLC
Doing business as
JD Drugstore
Practice address
4170 Main St Ste A1
Flushing, NY 11355-3837
Phone
(718) 888-1517
Fax
(718) 888-1564
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Jiayun Lin, PHARMDNPI 1952942823
Title
Pharmacist
Phone
(718) 888-1517

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4170 Main St Ste A1
Flushing, NY 11355-3837

Mailing address

4170 Main St Ste A1
Flushing, NY 11355-3837
Phone (718) 888-1517

Other identifiers 1

IdentifierTypeStateIssuer
06726301MedicaidNY

Other names 1

  • JD DRUGSTORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210401002060 NY DME Supplier - Pharmacy 8921415274 Practice locations: Flushing, NY
O20220707002465 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8921415274 Practice locations: Flushing, NY
O20220712001597 NY Part B Supplier - Pharmacy 8921415274 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
JD Plus Pharmacy LLC4170 Main St, Flushing, NY 11355-3837(718) 321-8830 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 15, 2020

National Provider Directory

National Provider Directory

Locations

4170 Main St
Ste A1
Flushing, NY 11355
Phone (516) 382-2864

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1255986790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 MAIN ST STE A1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553837",
            "telephone_number": "718-888-1517",
            "fax_number": "718-888-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 MAIN ST STE A1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553837",
            "telephone_number": "718-888-1517",
            "fax_number": "718-888-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD PLUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JIAYUN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-888-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06726301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JD DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 8, 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.