Organization Active NPI

L & M Pharmacy and Surgical Supplies LLC

  • Community/Retail Pharmacy
  • Forest Hills, NY
National Provider Identifier
1700290061
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032988 Issued in NY
Legal business name
L & M PHARMACY AND SURGICAL SUPPLIES LLC
Doing business as
L & M Pharmacy and Surgical Supplies, LLC
Practice address
11062 Queens Blvd
Forest Hills, NY 11375-6347
Phone
(718) 880-1418
Fax
(718) 487-3674
NPI assigned
Jun 15, 2014
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mikel BeckerNPI 1467853853
Title
Owner/Supervising Pharmacist
Phone
(718) 880-1418

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 032988 NY Primary

Addresses

Primary practice location

11062 Queens Blvd
Forest Hills, NY 11375-6347

Mailing address

11062 Queens Blvd
Forest Hills, NY 11375-6347
Phone (718) 880-1418

Other identifiers 1

IdentifierTypeStateIssuer
2146426OtherPK

Other names 1

  • L & M Pharmacy and Surgical Supplies, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160719000396 NY DME Supplier - Pharmacy 0749573483 Practice locations: Forest Hills, NY
O20220510000272 NY Part B Supplier - Pharmacy 0749573483 Practice locations: Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
L & M Pharmacy & Surgical Supplies11062 Queens Blvd, Forest Hills, NY 11375-6347(718) 880-1418 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 13, 2022

National Provider Directory

National Provider Directory

Locations

11062 Queens Blvd
Forest Hills, NY 11375
Phone (718) 544-4544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1700290061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11062 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756347",
            "telephone_number": "718-880-1418",
            "fax_number": "718-487-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11062 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756347",
            "telephone_number": "718-880-1418",
            "fax_number": "718-487-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & M PHARMACY AND SURGICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-880-1418"
    },
    "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": "032988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L & M Pharmacy and Surgical Supplies, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.