Dana Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

17032699 Issued in NY

Legal business name

DANA PHARMACY, INC

Practice address

24812 Northern Blvd
1C
Little Neck, NY 11362-1206

Phone

(718) 224-3233

NPI assigned

Mar 22, 2014

Organization subpart

No

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

Authorized official

Name

Susan Sukyung Kim, RPHNPI 1184949257

Title

Supervising Pharmacist

Phone

(718) 224-3233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

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.

• Susan Kim, RPH

  • Pharmacist
  • Freeport, NY
  • NPI 1184949257
  NPD Authorized official
• Yunhee Mun

  • Pharmacist
  • Ridgewood, NY
  • NPI 1346425857
  NPD

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1356768899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24812 NORTHERN BLVD",
            "address_2": "1C",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621206",
            "telephone_number": "718-224-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24812 NORTHERN BLVD",
            "address_2": "1C",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621206",
            "telephone_number": "718-224-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SUKYUNG",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-224-3233",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "17032699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.