Active NPI
Equal Care III LLC
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1548587173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 030165
- Legal business name
- EQUAL CARE III LLC
- Doing business as
- Equal Care III LLC
- Practice address
- 4059 College Point Blvd
Flushing, NY 11354-5140 - Phone
- (718) 888-9338
- Fax
- (718) 888-9299
- NPI assigned
- Apr 21, 2010
- 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
- Gabriel Lee, RPH
- Title
- Member/Pic
- Phone
- (718) 888-9338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 030165 | NY | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
4059 College Point Blvd
Flushing, NY 11354-5140
Mailing address
4059 College Point Blvd
Flushing, NY 11354-5140
Phone (718) 888-9338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03245741 | Medicaid | NY | |
| 2125459 | Other | PK |
Other names 1
- EQUAL CARE III LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101029001350 | NY | DME Supplier - Pharmacy | 0345434783 | Practice locations: Flushing, NY |
| O20230414000630 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345434783 | 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 |
|---|---|---|
| Equal Care III LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical … | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flushing, NY
- NPI 1003139940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462924800000",
"number": "1548587173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 COLLEGE POINT BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545140",
"telephone_number": "718-888-9338",
"fax_number": "718-888-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4059 COLLEGE POINT BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545140",
"telephone_number": "718-888-9338",
"fax_number": "718-888-9299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUAL CARE III LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2016-05-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "MEMBER/PIC",
"authorized_official_telephone_number": "718-888-9338",
"authorized_official_credential": "RPH"
},
"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": "030165",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03245741",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2125459",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EQUAL CARE III LLC",
"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 May 11, 2016; 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.