Active NPI
Elmway II Pharmacy Inc
- Community/Retail Pharmacy
- Elmhurst, NY
National Provider Identifier
1699154732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 033562
- Legal business name
- ELMWAY II PHARMACY INC
- Practice address
- 8607 51St Ave
Elmhurst, NY 11373-3922 - Phone
- (718) 699-1882
- NPI assigned
- May 21, 2015
- 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
- Tristan Liu
- Title
- Corp. Officer
- Phone
- (718) 699-1882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 033562 | NY | Primary |
Addresses
Primary practice location
8607 51St Ave
Elmhurst, NY 11373-3922
Mailing address
8607 51St Ave
Elmhurst, NY 11373-3922
Phone (718) 699-1882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033562 | Other | NY | NYS BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171219002849 | NY | DME Supplier - Pharmacy | 7517225634 | Practice locations: Elmhurst, NY |
| O20210114002383 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517225634 | Practice locations: Elmhurst, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1699154732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 51ST AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733922",
"telephone_number": "718-699-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8607 51ST AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733922",
"telephone_number": "718-699-1882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMWAY II PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-21",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "TRISTAN",
"authorized_official_title_or_position": "CORP. OFFICER",
"authorized_official_telephone_number": "718-699-1882"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "033562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS BOARD OF PHARMACY",
"identifier": "0033562",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
- Elmhurst Queens Gastroenterology and Hepatology Medical Consultant P.C
- Elmhurst Services, Inc
- Elmhurst Speech Language Pathology PLLC (Tiger Speech Therapy)
- Elmhurst United Medical PC
- Elmhurst Women's Medical, PC
- Elmway Pharmacy Inc
- Marwa Elnagar
- Mohamed Yahia Abdalla Elsaidy, PT
- Elsanaa PT PC
- Mahmoud Elsayed Elsanaa, PHYSICAL THERAPY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.