NPIMap

Organization Active NPI

MJ88 Pharmacy Inc

  • Community/Retail Pharmacy
  • Bayside, NY
National Provider Identifier
1629414347
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031976 Issued in NY
Legal business name
MJ88 PHARMACY INC
Practice address
6136 Springfield Blvd
Bayside, NY 11364-2336
Phone
(718) 819-0881
Fax
(718) 819-0891
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Mrs. Amy Lau, RPHNPI 1194975722
Title
President
Phone
(917) 603-9077

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031976 NY Primary

Addresses

Primary practice location

6136 Springfield Blvd
Bayside, NY 11364-2336

Mailing address

6136 Springfield Blvd
Bayside, NY 11364-2336
Phone (718) 819-0881

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1629414347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 SPRINGFIELD BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642336",
            "telephone_number": "718-819-0881",
            "fax_number": "718-819-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 SPRINGFIELD BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642336",
            "telephone_number": "718-819-0881",
            "fax_number": "718-819-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ88 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-603-9077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.