Icon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033844 Issued in NY

Legal business name

ICON PHARMACY INC

Practice address

4173B Bowne St
Flushing, NY 11355

Phone

(718) 886-3082

Fax

(718) 886-3137

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Kit Cheang

Title

President

Phone

(718) 886-3082

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kit U Cheang, PHARM D

  • Pharmacist
  • Flushing, NY
  • NPI 1609190974
  NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1629444112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173B BOWNE ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-886-3082",
            "fax_number": "718-886-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4173B BOWNE ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-886-3082",
            "fax_number": "718-886-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "CHEANG",
        "authorized_official_first_name": "KIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-3082"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04353137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berta Ibragimova, MS. SPED
• Ahmed Moursi Ibrahim, PT
• Icare Physical Therapy Functional Rehabilitation PC
• Icare U Medical P.C.
• Icilma V Fergus, MD, PLLC
• Shehla Iftekhar, LMHC
• Nesochi Igbokwe, M.D., M.S.
• Meira B Ihm, MSSPED
• IHS of New York Inc (Queens Dialysis at South Flushing)
• Uchenna Ijeaku

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.