Vida Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VIDA CARE PHARMACY LLC

Practice address

3764 90TH St
Jackson Heights, NY 11372-7830

Phone

(718) 779-2221

Fax

(718) 779-3600

NPI assigned

Nov 27, 2019

Last updated

Sep 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ting Chen LeeNPI 1629246723

Title

Member

Phone

(718) 899-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

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.

• Ting Chen Lee, PHARMD

  • Pharmacist
  • Elmhurst, NY
  • NPI 1629246723
  NPD Authorized official
• Sue Jeong Lee

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1023294816
  NPD

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1770129579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727830",
            "telephone_number": "718-779-2221",
            "fax_number": "718-779-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3764 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727830",
            "telephone_number": "718-779-2221",
            "fax_number": "718-779-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TING CHEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-899-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verrisa Medical Services
• Vesper Shield Corp
• Victor Chen Podiatrist, PC
• Vanessa Victoria, RP.A.-C
• Maria Vicuna
• Vida Sana Pharmacy Inc.
• Vijay K Chhabra Physician PC
• Pachuska Vil-Audain
• Lizeth V Villa
• Andrea Villalobos, DPT

• Community/Retail Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, 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 Sep 4, 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.