Active NPI
L.I.City Pharmacy Inc.
- Pharmacist
- Long Island City, NY
National Provider Identifier
1295782712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 027844
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Woo Jung Choi, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02772916 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Long Island City, NY
- NPI 1740229756
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.