Active NPI
B.O.P Pharmacy Inc.
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1629063367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 027290
- Legal business name
- B.O.P PHARMACY INC.
- Practice address
- 135-02 Roosevelt Avenue
Flushing, NY 11354-5343 - Phone
- (718) 359-6333
- Fax
- (718) 359-5339
- NPI assigned
- Sep 19, 2005
- 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
- Clement Ho
- Title
- Owner
- Phone
- (718) 539-8999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 027290 | NY | Primary |
Addresses
Primary practice location
135-02 Roosevelt Avenue
Flushing, NY 11354-5343
Mailing address
135-02 Roosevelt Avenue
Flushing, NY 11354-5343
Phone (718) 359-6333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2680308 | Medicaid | NY | |
| 2064036 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930034271 | NY | DME Supplier - Pharmacy | 4183835440 | Practice locations: Flushing, NY |
| O20221026000383 | NY | Part B Supplier - Pharmacy | 4183835440 | Practice locations: Flushing, NY |
National Provider Directory
National Provider DirectoryLocations
13502 Roosevelt Ave
Flushing, NY 11354
Phone (718) 359-6333
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flushing, NY
- NPI 1184186082
-
- Pharmacist
- Flushing, NY
- NPI 1932424512
-
- Pharmacist
- Flushing, NY
- NPI 1598749533
-
- Pharmacist
- Elmhurst, NY
- NPI 1194362590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569456000000",
"number": "1629063367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135-02 ROOSEVELT AVENUE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545343",
"telephone_number": "718-359-6333",
"fax_number": "718-359-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135-02 ROOSEVELT AVENUE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545343",
"telephone_number": "718-359-6333",
"fax_number": "718-359-5339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B.O.P PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2019-09-26",
"status": "A",
"authorized_official_last_name": "HO",
"authorized_official_first_name": "CLEMENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-539-8999"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "027290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2680308",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2064036",
"state": null
}
],
"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 Sep 26, 2019; 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.