Masterpharm, LLC.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

025424 Issued in NY

Legal business name

MASTERPHARM, LLC.

Practice address

11502 Liberty Ave
South Richmond Hill, NY 11419-1938

Phone

(866) 630-5600

NPI assigned

Jun 15, 2011

Last updated

Jun 15, 2011By 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

Dr. Lin Leung, PHARMD.

Title

Director of Pharmacy Operations

Phone

(866) 630-5600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1558656892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191938",
            "telephone_number": "866-630-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191938",
            "telephone_number": "866-630-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPHARM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "866-630-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "025424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3327170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franchely Nicole Maria
• Christine Sandra Martinez
• Louis Pierre Martinez, RPH
• Deborah Mascall, LPN
• Masih Home Care Incorporated
• Shyla J Mathew, RPH
• Reginald D McLaughlin, MD
• Theresa McPherson
• Medisource Corp
• Medisource Corp

• Compounding Pharmacy in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Compounding Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.