Ip101, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IP101, LLC

Doing business as

Ilana Pharmacy

Practice address

18030 Union Tpke
Flushing, NY 11366-1620

Phone

(718) 969-9500

Fax

(718) 969-9510

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Yakov Gindin

Title

Member

Phone

(718) 969-9500

Specialties & licenses 1

Addresses

Other names 1

• Ilana 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

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1750026910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18030 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661620",
            "telephone_number": "718-969-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18030 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661620",
            "telephone_number": "718-969-9500",
            "fax_number": "718-969-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IP101, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "GINDIN",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-969-9500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilana Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• International School of Permanent Makeup
• Grace Interrante
• Daniela Iocco
• Silvestro Iommazzo Jr., D.D.S
• Matthew Iong, LMHC
• Justine Paula Ippolito-Fata, DDS
• Shiza Iqbal
• Kashif Iqubal, MD
• John R Iraj, M.D.
• Irene Schulman Medical PC

• 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 May 2, 2022; 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.