Roosevelt City Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

035296 Issued in NY

Legal business name

ROOSEVELT CITY PHARMACY INC

Doing business as

City Pharmacy

Practice address

7918 Roosevelt Ave
Jackson Heights, NY 11372-6717

Phone

(718) 255-1065

Fax

(718) 255-6734

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Haiying Li

Title

President

Phone

(718) 255-1065

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• City Pharmacy Doing business as

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.

• Yuen Lam Chan, PHARM D

  • Pharmacist
  • New York, NY
  • NPI 1679027288
  NPD

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1669913992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726717",
            "telephone_number": "718-255-1065",
            "fax_number": "718-255-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726717",
            "telephone_number": "718-255-1065",
            "fax_number": "718-255-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "HAIYING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-255-1065"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "035296",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniella A Rondanelli, LMSW
• Metherlyn Rondon, LMHC
• Bonij Ronjan
• Roosevelt Ave Pain Medicine PLLC
• Roosevelt Cardio Vascular Diagnostic, P.C.
• Roosevelt Dental Care II P.C.
• Roosevelt Dental Care P.C.
• Roosevelt Drug Corp
• Roosevelt Optometry Associates PLLC
• Roosevelt Women'S Medical Care, PC

• Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.