NPIMap

Organization Active NPI

Ny41 LLC

Doing business as Horizon Pharmacy IV

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1396094355
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031527 Issued in NY
Legal business name
NY41 LLC
Doing business as
Horizon Pharmacy IV
Practice address
4146 Main St
Flushing, NY 11355-3183
Phone
(718) 359-8881
Fax
(718) 359-8871
NPI assigned
Sep 6, 2012
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Weiquan Liang
Title
Supervising Pharmacist
Phone
(718) 359-8881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 031527 NY Primary

Addresses

Primary practice location

4146 Main St
Flushing, NY 11355-3183

Mailing address

4146 Main St
Flushing, NY 11355-3183
Phone (718) 359-8881

Other identifiers 1

IdentifierTypeStateIssuer
5806180OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Horizon Pharmacy IV Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1396094355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553183",
            "telephone_number": "718-359-8881",
            "fax_number": "718-359-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553183",
            "telephone_number": "718-359-8881",
            "fax_number": "718-359-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY41 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "WEIQUAN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-359-8881"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5806180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Pharmacy IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.