Organization Active NPI

B.O.P Pharmacy Inc.

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1629063367
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027290 Issued in NY
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

Updated by the provider on Sep 26, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2680308MedicaidNY
2064036OtherPK

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930034271 NY DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 4183835440 Practice locations: Flushing, NY
O20221026000383 NY Part B Supplier - Pharmacy 4183835440 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.