Kaneda Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033048 Issued in NY

Legal business name

KANEDA PHARMACY, LLC

Doing business as

Kaneda Pharmacy, LLC

Practice address

4032 Union St
Flushing, NY 11354-6044

Phone

(718) 888-1489

Fax

(718) 888-0474

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Eric TengNPI 1790819324

Title

Supervising Pharmacist

Phone

(718) 888-1489

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kaneda Pharmacy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Eric C Teng, OWNER

  • Pharmacist
  • Flushing, NY
  • NPI 1790819324
  NPD (past) Authorized official

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1467853481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546044",
            "telephone_number": "718-888-1489",
            "fax_number": "718-888-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546044",
            "telephone_number": "718-888-1489",
            "fax_number": "718-888-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEDA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "TENG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-888-1489"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147937",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04147302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaneda Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wael Kamel, MD
• Amy Kaminetzky
• Li Kan, MD
• Sang Kan, M.D.
• Tiffany Kandov I
• Kang Hua Adult Daycare Center Inc
• Kang Lan Medical PLLC
• Baik Hyun Kang, MD
• Bo-Kwan Kang, PT, DPT
• Byung C. Kang, D.O.

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.