Organization Active NPI

All RX Pharmacy III LLC

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1578077806
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035907 Issued in NY
Legal business name
ALL RX PHARMACY III LLC
Practice address
13619 41St Ave
Flushing, NY 11355-2469
Phone
(718) 888-0580
Fax
(718) 888-0581
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Kwok Hei Lee
Title
Managing Member
Phone
(718) 888-0580

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035907 NY Primary

Addresses

Primary practice location

13619 41St Ave
Flushing, NY 11355-2469

Mailing address

13619 41St Ave
Flushing, NY 11355-2469
Phone (718) 888-0580

Other identifiers 2

IdentifierTypeStateIssuer
2174302OtherPK
05088995MedicaidNY

Other names 1

  • ALL RX PHARMACY III LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180424002519 NY DME Supplier - Pharmacy 0042573115 Practice locations: Flushing, NY
O20210507002218 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0042573115 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13314 41st Rd
Ste 1F
Flushing, NY 11355
Phone (718) 888-0580

13619 41st Ave
Flushing, NY 11355
Phone (718) 886-6330

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1578077806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552469",
            "telephone_number": "718-888-0580",
            "fax_number": "718-888-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13619 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552469",
            "telephone_number": "718-888-0580",
            "fax_number": "718-888-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL RX PHARMACY III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWOK HEI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-888-0580"
    },
    "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": "035907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174302",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05088995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL RX PHARMACY 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 Dec 22, 2021; 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.