Active NPI
Elmway Pharmacy Inc
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1306948724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025339
- Legal business name
- ELMWAY PHARMACY INC
- Practice address
- 8245 Broadway
Elmhurst, NY 11373 - Phone
- (718) 803-2288
- Fax
- (718) 429-4199
- NPI assigned
- Sep 5, 2006
- Last updated
- Apr 14, 2008
- 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
- Phoebe Tse, RPH
- Title
- V President
- Phone
- (718) 803-2288
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 | 025339 | NY | Primary |
Addresses
Primary practice location
8245 Broadway
Elmhurst, NY 11373
Mailing address
8245 Broadway
Elmhurst, NY 11373
Phone (718) 803-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02254786 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016307 | NY | DME Supplier - Pharmacy | 7214140722 | Practice locations: Elmhurst, NY |
| O20120810000000 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214140722 | Practice locations: Elmhurst, NY |
National Provider Directory
National Provider DirectoryLocations
8245 Broadway
Elmhurst, NY 11373
Phone (718) 803-2288
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Pharmacist
- New York, NY
- NPI 1962681395
-
- Pharmacist
- New York, NY
- NPI 1205158060
-
- Pharmacist
- Elmhurst, NY
- NPI 1770765570
-
- Pharmacist
- Elmhurst, NY
- NPI 1215448667
-
- Pharmacist
- Elmhurst, NY
- NPI 1487190583
-
- Pharmacist
- Flushing, NY
- NPI 1699257097
-
- Pharmacist
- Elmhurst, NY
- NPI 1447893714
-
- Pharmacist
- Troy, MI
- NPI 1720342611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1306948724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8245 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-803-2288",
"fax_number": "718-429-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8245 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-803-2288",
"fax_number": "718-429-4199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMWAY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "TSE",
"authorized_official_first_name": "PHOEBE",
"authorized_official_title_or_position": "V PRESIDENT",
"authorized_official_telephone_number": "718-803-2288",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "025339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02254786",
"state": "NY"
}
],
"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 Apr 14, 2008; 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.