Active NPI
Leavitt Pharmacy Inc
- Pharmacy
- Flushing, NY
National Provider Identifier
1417429408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Leavitt Pharmacy Inc | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Briarcliff Manor, NY
- NPI 1326446337
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.