Organization Active NPI

New York Flushing Pharmacy LLC

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1417323759
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
032423 Issued in NY
Legal business name
NEW YORK FLUSHING PHARMACY LLC
Practice address
15710 Northern Blvd
Flushing, NY 11354-5036
Phone
(718) 461-7200
Fax
(718) 461-7212
NPI assigned
Aug 20, 2015
Last updated
Aug 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Mr. Young H KangNPI 1750512760
Title
President
Phone
(718) 461-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 032423 NY Primary

Addresses

Primary practice location

15710 Northern Blvd
Flushing, NY 11354-5036

Mailing address

15710 Northern Blvd
Flushing, NY 11354-5036
Phone (718) 461-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160114003029 NY DME Supplier - Pharmacy 5799088365 Practice locations: Flushing, NY
O20171004000421 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5799088365 Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
New York Flushing Pharmacy LLC15710 Northern Blvd, Flushing, NY 11354-5036(718) 461-7200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 1, 2015

National Provider Directory

National Provider Directory

Locations

15710 Northern Blvd
Flushing, NY 11354
Phone (718) 461-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1417323759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15710 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545036",
            "telephone_number": "718-461-7200",
            "fax_number": "718-461-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15710 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545036",
            "telephone_number": "718-461-7200",
            "fax_number": "718-461-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK FLUSHING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-461-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "032423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 2017; 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.