Medi Space Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025056 Issued in NY

Legal business name

MEDI SPACE DRUGS

Practice address

4139 Main St
Flushing, NY 11355-3132

Phone

(718) 961-3373

Fax

(718) 961-3311

NPI assigned

Mar 19, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Teng I, PHARMACIST

Title

Owner

Phone

(718) 961-3373

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1306960810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553132",
            "telephone_number": "718-961-3373",
            "fax_number": "718-961-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553132",
            "telephone_number": "718-961-3373",
            "fax_number": "718-961-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI SPACE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "TENG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-961-3373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "3399044",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meadow Park Rehabilitation & Health Care Center LLC
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• Medcore Equipment LLC
• Medexplus Medical PC
• Medi Health Drugs LLC
• Medi-Health Drugs LLC
• Medi-Space Pharma Inc (Medi-Space Drugs)
• Medical and Surgical Eye Specialist, PLLC
• Medical Care Innovation, P.C.
• Medical Comprehensive Care P.C.

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.