Active NPI
Lin Pharmacy Inc
- Pharmacy
- Cambria Heights, NY
National Provider Identifier
1568095818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Community/Retail Pharmacy
- Cambria Heights, NY
- NPI 1770920795
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.