Organization Active NPI

L.I.City Pharmacy Inc.

  • Pharmacist
  • Long Island City, NY
National Provider Identifier
1295782712
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
027844 Issued in NY
Legal business name
L.I.CITY PHARMACY INC.
Practice address
4469 21St St
Long Island City, NY 11101-5112
Phone
(718) 729-6300
Fax
(718) 729-6392
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Miss Woo Jung Choi, RPHNPI 1740229756
Title
Direct Owner/Supervising Pharmacist
Phone
(718) 507-1343

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 027844 NY Primary

Addresses

Primary practice location

4469 21St St
Long Island City, NY 11101-5112

Mailing address

4469 21St St
Long Island City, NY 11101-5112
Phone (718) 729-6300

Other identifiers 1

IdentifierTypeStateIssuer
02772916MedicaidNY

National Provider Directory

National Provider Directory

Locations

4469 21st St
Long Island City, NY 11101
Phone (718) 729-6300

Practitioners & affiliated clinicians

Practitioners 1

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1295782712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015112",
            "telephone_number": "718-729-6300",
            "fax_number": "718-729-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015112",
            "telephone_number": "718-729-6300",
            "fax_number": "718-729-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.CITY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "WOO JUNG",
        "authorized_official_title_or_position": "DIRECT OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-507-1343",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02772916",
            "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 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.