Organization Active NPI

Longevity Enterprise Inc.

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1447718770
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LONGEVITY ENTERPRISE INC.
Practice address
4343 Main St
Flushing, NY 11355-4743
Phone
(718) 799-2881
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Zhao Ying Lin
Title
President
Phone
(718) 799-2881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4343 Main St
Flushing, NY 11355-4743

Mailing address

4343 Main St
Flushing, NY 11355-4743
Phone (718) 799-2881

Other names 1

  • 168 Longevity Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1447718770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554743",
            "telephone_number": "718-799-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554743",
            "telephone_number": "718-799-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ZHAO YING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-799-2881"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "168 Longevity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "168 Longevity 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 Aug 5, 2021; 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.