Active NPI
M & I Management, Inc.
- Pharmacist
- Astoria, NY
National Provider Identifier
1598894255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028205
- Legal business name
- M & I MANAGEMENT, INC.
- Practice address
- 4116 30TH Ave
Astoria, NY 11103-2998 - Phone
- (718) 204-1414
- Fax
- (718) 204-1413
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. In Pom Song, RPH
- Title
- Director
- Phone
- (718) 204-1414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028205 | NY | Primary |
Addresses
Primary practice location
4116 30TH Ave
Astoria, NY 11103-2998
Mailing address
4116 30TH Ave
Astoria, NY 11103-2998
Phone (718) 204-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02867238 | Medicaid | NY |
Other names 1
- Metro Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Astoria, NY
- NPI 1437283512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1598894255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 30TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032998",
"telephone_number": "718-204-1414",
"fax_number": "718-204-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4116 30TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032998",
"telephone_number": "718-204-1414",
"fax_number": "718-204-1413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M & I MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "IN",
"authorized_official_middle_name": "POM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-204-1414",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "028205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02867238",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metro Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.