Organization Active NPI

Forever Pharmacy Inc.

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1578133369
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FOREVER PHARMACY INC.
Practice address
13534 39TH Ave
Flushing, NY 11354-4480
Phone
(718) 888-7000
Fax
(718) 888-7018
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Renjie Zhu
Title
President
Phone
(718) 888-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13534 39TH Ave
Flushing, NY 11354-4480

Mailing address

13534 39TH Ave
Flushing, NY 11354-4480
Phone (718) 888-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118001566 NY Part B Supplier - Pharmacy 8426447103 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13534 39th Ave
Flushing, NY 11354
Phone (718) 888-7000

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1578133369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13534 39TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544480",
            "telephone_number": "718-888-7000",
            "fax_number": "718-888-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13534 39TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544480",
            "telephone_number": "718-888-7000",
            "fax_number": "718-888-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "RENJIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-7000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 25, 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.