Ny81 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031382 Issued in NY

Legal business name

NY81 LLC

Doing business as

Horizon Pharmacy III

Practice address

8114 Broadway
Elmhurst, NY 11373-2450

Phone

(718) 803-1188

Fax

(718) 803-1180

NPI assigned

Jun 11, 2012

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Li

Title

Pharmacy Supervisor

Phone

(646) 258-4558

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Horizon Pharmacy III Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Siu Fung Li, RPH

  • Pharmacist
  • Elmhurst, NY
  • NPI 1154653756
  NPD
• Aileen Chen

  • Pharmacist
  • Elmhurst, NY
  • NPI 1104343003
  NPD (past)
• Yu Feng Lin

  • Pharmacist
  • Elmhurst, NY
  • NPI 1245054824
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1508128109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732450",
            "telephone_number": "718-803-1188",
            "fax_number": "718-803-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732450",
            "telephone_number": "718-803-1188",
            "fax_number": "718-803-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY81 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "646-258-4558"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135874",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03488759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Pharmacy III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Elmhurst, NY
• Providers in Elmhurst, 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 Aug 10, 2016; 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.