Organization Active NPI

99 Pharmacy, Inc.

  • Pharmacy
  • Elmhurst, NY
National Provider Identifier
1265056998
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
99 PHARMACY, INC.
Practice address
7402 Grand Ave
Elmhurst, NY 11373-4127
Phone
(718) 500-3699
Fax
(718) 500-3799
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Ms. Jing Yao
Title
Owner
Phone
(718) 666-8189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

7402 Grand Ave
Elmhurst, NY 11373-4127

Mailing address

7402 Grand Ave
Elmhurst, NY 11373-4127
Phone (718) 500-3699

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210621002123 NY Part B Supplier - Pharmacy 0143620690 Practice locations: Elmhurst, NY
O20231213004125 NY DME Supplier - Pharmacy 0143620690 Practice locations: Elmhurst, 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
99 Pharmacy Inc7402 Grand Ave, Elmhurst, NY 11373-4127(718) 500-3699 Nebulizer Drugs Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory

Locations

7402 Grand Ave
Elmhurst, NY 11373
Phone (973) 908-1789

7402 Grand Ave
Unit A
Flushing, NY 11373
Phone (718) 500-3699

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1265056998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 GRAND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734127",
            "telephone_number": "718-500-3699",
            "fax_number": "718-500-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 GRAND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734127",
            "telephone_number": "718-500-3699",
            "fax_number": "718-500-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "99 PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-666-8189",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

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