Organization Active NPI

Dong Seo Pharmacy LLC

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1750771929
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DONG SEO PHARMACY LLC
Practice address
14220 38TH Ave Ste CF-D
Flushing, NY 11354-5654
Phone
(718) 888-7811
Fax
(718) 888-0025
NPI assigned
Jan 27, 2015
Last updated
Oct 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Authorized official

Name
Pyong Yun
Title
President
Phone
(718) 614-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14220 38TH Ave Ste CF-D
Flushing, NY 11354-5654

Mailing address

14220 38TH Ave Ste CF-D
Flushing, NY 11354-5654
Phone (718) 888-7811

Other identifiers 1

IdentifierTypeStateIssuer
04173731MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150827002390 NY DME Supplier - Pharmacy 0143536771 Practice locations: Flushing, NY
O20231128001412 NY Part B Supplier - Pharmacy 0143536771 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

3622A Union St
Flushing, NY 11354
Phone (718) 888-7811

Practitioners & affiliated clinicians

Practitioners 2

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": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1750771929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 38TH AVE STE CF-D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545654",
            "telephone_number": "718-888-7811",
            "fax_number": "718-888-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 38TH AVE STE CF-D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545654",
            "telephone_number": "718-888-7811",
            "fax_number": "718-888-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG SEO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "PYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-614-7000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04173731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 12, 2025; 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.

Verify at the official NPI Registry.