Organization Active NPI

Lin Pharmacy Inc

  • Pharmacy
  • Cambria Heights, NY
National Provider Identifier
1568095818
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIN PHARMACY INC
Practice address
22404 Linden Blvd
Cambria Heights, NY 11411-1739
Phone
(347) 722-4443
Fax
(347) 528-5231
NPI assigned
Feb 14, 2020
Organization subpart
Yes
Parent organization
MAKKI PHARMACY & SURGICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Mr. Samuel Yakubov
Title
President
Phone
(347) 722-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

22404 Linden Blvd
Cambria Heights, NY 11411-1739

Mailing address

22404 Linden Blvd
Cambria Heights, NY 11411-1739
Phone (347) 722-4443

Other names 1

  • makki pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220112002397 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1153749213 Practice locations: Cambria Heights, NY

National Provider Directory

National Provider Directory
Part of
Makki Pharmacy Surgical Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1568095818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22404 LINDEN BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111739",
            "telephone_number": "347-722-4443",
            "fax_number": "347-528-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22404 LINDEN BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111739",
            "telephone_number": "347-722-4443",
            "fax_number": "347-528-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAKKI PHARMACY & SURGICAL INC",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-722-4443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "makki pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambria Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.