Emnico RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EMNICO RX INC

Practice address

1440 Forest Ave
Store 5
Staten Island, NY 10302-2235

Phone

(631) 380-3800

Fax

(631) 380-3688

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Don Lee, PHARMDNPI 1811219082

Title

Pharmacist

Phone

(929) 500-6836

Specialties & licenses 3

Addresses

Other names 1

• Dorado Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Don Lee, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1811219082
  NPD Authorized official
• Weicong Kuang, PHARMD, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1134004922
  NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1326713488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 FOREST AVE",
            "address_2": "STORE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022235",
            "telephone_number": "631-380-3800",
            "fax_number": "631-380-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 FOREST AVE",
            "address_2": "STORE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022235",
            "telephone_number": "631-380-3800",
            "fax_number": "631-380-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMNICO RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "929-500-6836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorado Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dorado Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.