Organization Active NPI

Queensbridge Plaza Pharmacy Corp

  • Community/Retail Pharmacy
  • Long Island City, NY
National Provider Identifier
1275684748
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUEENSBRIDGE PLAZA PHARMACY CORP
Practice address
1037 41St Ave
Long Island City, NY 11101-7346
Phone
(718) 707-0705
Fax
(718) 707-0706
NPI assigned
Jan 13, 2007
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Mr. Rong Tian Yu, RPHNPI 1922264878
Title
President
Phone
(718) 707-0705

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 NY Primary

Addresses

Primary practice location

1037 41St Ave
Long Island City, NY 11101-7346

Mailing address

1037 41St Ave
Long Island City, NY 11101-7346
Phone (718) 707-0705

Other identifiers 1

IdentifierTypeStateIssuer
02863936MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141015001700 NY DME Supplier - Pharmacy 6103047287 Practice locations: Long Island City, NY
O20220818000535 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6103047287 Practice locations: Long Island City, NY

National Provider Directory

National Provider Directory
Tax ID family
Queensbridge Plaza Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1275684748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 41ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111017346",
            "telephone_number": "718-707-0705",
            "fax_number": "718-707-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 41ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111017346",
            "telephone_number": "718-707-0705",
            "fax_number": "718-707-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSBRIDGE PLAZA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "RONG TIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-707-0705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02863936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.