Active NPI
Nyc Wholesale Inc
Doing business as moon pharmacy
- Community/Retail Pharmacy
- Rego Park, NY
National Provider Identifier
1376854323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17-030055
- Legal business name
- NYC WHOLESALE INC
- Doing business as
- moon pharmacy
- Practice address
- 63-52 Woodhaven Blvd.
Rego Park, NY 11374 - Phone
- (718) 739-0300
- Fax
- (718) 739-0301
- NPI assigned
- Jun 24, 2010
- Organization subpart
- Yes
- Parent organization
- NYC WHOLESALE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Chu
- Title
- Owner/President
- Phone
- (484) 401-2773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 17-030055 | NY | Primary |
Addresses
Primary practice location
63-52 Woodhaven Blvd.
Rego Park, NY 11374
Mailing address
63-52 Woodhaven Blvd.
Rego Park, NY 11374
Phone (718) 739-0300
Other names 1
- moon pharmacy
National Provider Directory
National Provider Directory- Part of
- Nyc Wholesale Inc
Locations
5702 Clarendon Rd
Brooklyn, NY 11203
Phone (347) 425-8170
15321 Hillside Ave
Jamaica, NY 11432
Phone (718) 739-0300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jamaica, NY
- NPI 1265831242
-
- Pharmacist
- Brooklyn, NY
- NPI 1770894891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489622400000",
"number": "1376854323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63-52 WOODHAVEN BLVD.",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-739-0300",
"fax_number": "718-739-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63-52 WOODHAVEN BLVD.",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-739-0300",
"fax_number": "718-739-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYC WHOLESALE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NYC WHOLESALE INC.",
"enumeration_date": "2010-06-24",
"last_updated": "2017-03-16",
"status": "A",
"authorized_official_last_name": "CHU",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "484-401-2773"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "17-030055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "moon pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.