Organization Active NPI

Leavitt Pharmacy Inc

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1417429408
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LEAVITT PHARMACY INC
Doing business as
Leavitt Pharmacy
Practice address
3519 Leavitt St Apt S1
Flushing, NY 11354-2992
Phone
(718) 445-1888
Fax
(718) 445-8887
NPI assigned
Jan 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Chun Hu
Title
Owner
Phone
(718) 445-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3519 Leavitt St Apt S1
Flushing, NY 11354-2992

Mailing address

3519 Leavitt St Apt S1
Flushing, NY 11354-2992
Phone (718) 445-1888

Other names 1

  • Leavitt Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190401000588 NY Part B Supplier - Pharmacy 5294076212 Practice locations: Flushing, NY
O20220328001494 NY DME Supplier - Pharmacy 5294076212 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
Leavitt Pharmacy Inc3519 Leavitt St, Flushing, NY 11354-2992(718) 445-1888 Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Mar 1, 2019

National Provider Directory

National Provider Directory

Locations

3519 Leavitt St
Apt S1
Flushing, NY 11354
Phone (718) 445-1888

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1417429408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 LEAVITT ST APT S1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542992",
            "telephone_number": "718-445-1888",
            "fax_number": "718-445-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 LEAVITT ST APT S1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542992",
            "telephone_number": "718-445-1888",
            "fax_number": "718-445-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-01",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-445-1888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leavitt Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leavitt Pharmacy",
            "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 Oct 9, 2020; 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.