Organization Active NPI

Empire Pharmacy & Surgical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Woodside, NY
National Provider Identifier
1528161072
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0986785 Issued in NY
Legal business name
EMPIRE PHARMACY & SURGICAL SUPPLY INC.
Practice address
50-17 Queens Blvd
Woodside, NY 11377-4452
Phone
(718) 205-1275
NPI assigned
Sep 7, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mark Christopher Martell
Title
President/Supervising Pharmacist
Phone
(718) 205-1275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0986785 NY Primary
Community/Retail Pharmacy 3336C0003X 022856 NY

Addresses

Primary practice location

50-17 Queens Blvd
Woodside, NY 11377-4452

Mailing address

50-17 Queens Blvd
Woodside, NY 11377-4452

Other identifiers 1

IdentifierTypeStateIssuer
01951459MedicaidNY

National Provider Directory

National Provider Directory

Locations

5017 Queens Blvd
Woodside, NY 11377
Phone (718) 205-1275

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528161072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50-17 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50-17 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774452",
            "telephone_number": "718-205-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PHARMACY & SURGICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-205-1275"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0986785",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.