Active NPI
C K Pharmacy Inc
- Community/Retail Pharmacy
- Flushing, NY
National Provider Identifier
1699766535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 024627
- Legal business name
- C K PHARMACY INC
- Practice address
- 4213 Main St
Flushing, NY 11355-3855 - Phone
- (718) 539-8999
- Fax
- (718) 539-3948
- NPI assigned
- Oct 31, 2005
- 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
- Clement Ho, BS PHARMACY
- Title
- Owner
- Phone
- (718) 539-8999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 024627 | NY | Primary |
Addresses
Primary practice location
4213 Main St
Flushing, NY 11355-3855
Mailing address
42 13 Main St
Flushing, NY 11355
Phone (718) 539-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3344835 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 02055530 | Medicaid | NY |
Other names 1
- C K PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930094610 | NY | DME Supplier - Pharmacy | 0345445284 | Practice locations: Flushing, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| C K Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
4213 Main St
Flushing, NY 11355
Phone (718) 539-8999
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flushing, NY
- NPI 1912220443
-
- Pharmacist
- Flushing, NY
- NPI 1245554740
-
- Pharmacist
- Flushing, NY
- NPI 1891277976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284336000000",
"number": "1699766535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 13 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-539-8999",
"fax_number": "718-539-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553855",
"telephone_number": "718-539-8999",
"fax_number": "718-539-3948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C K PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"last_updated": "2010-09-13",
"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",
"authorized_official_credential": "BS PHARMACY"
},
"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": "024627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3344835",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02055530",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "C K PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 13, 2010; 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.