Organization Active NPI

Solomon Pharmacy Corporation

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1609923762
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020866 Issued in NY
Legal business name
SOLOMON PHARMACY CORPORATION
Practice address
13691 37TH Ave FL 1
Flushing, NY 11354-4110
Phone
(718) 321-2526
Fax
(718) 321-2579
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Authorized official

Name
Seong Min Lim
Title
President
Phone
(718) 321-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020866 NY Primary

Addresses

Primary practice location

13691 37TH Ave FL 1
Flushing, NY 11354-4110

Mailing address

13691 37TH Ave FL 1
Flushing, NY 11354-4110
Phone (718) 321-2526

Other identifiers 1

IdentifierTypeStateIssuer
01241863MedicaidNY

Other names 1

  • SOLOMON PHARMACY CORP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930032515 NY DME Supplier - Pharmacy 0840409058 Practice locations: Flushing, NY
O20211113000091 NY Part B Supplier - Pharmacy 0840409058 Practice locations: Flushing, NY
O20220125001957 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0840409058 Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Solomon Pharmacy Corporation13691 37TH Ave, Flushing, NY 11354-4110(718) 321-2526 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Locations

13691 37th Ave
#1
Flushing, NY 11354
Phone (718) 321-2526

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751155200000",
    "number": "1609923762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 37TH AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544110",
            "telephone_number": "718-321-2526",
            "fax_number": "718-463-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 37TH AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544110",
            "telephone_number": "718-321-2526",
            "fax_number": "718-321-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SEONG MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-2526"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLOMON PHARMACY CORP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOLOMON PHARMACY CORP",
            "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 Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.