Organization Active NPI

Primacare Plus Pharmacy Inc.

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1770717993
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
PRIMACARE PLUS PHARMACY INC.
Practice address
3703 Main St
1St Floor
Flushing, NY 11354-4106
Phone
(718) 886-5683
Fax
(718) 886-5685
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Wing Tak CheungNPI 1588898662
Title
President
Phone
(917) 575-1884

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

3703 Main St
1St Floor
Flushing, NY 11354-4106

Mailing address

37-03 Main Street
1St Floor
Flushing, NY 11354

Other identifiers 1

IdentifierTypeStateIssuer
03139911MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930084799 NY DME Supplier - Pharmacy 4284834698 Practice locations: Flushing, NY
O20220707003114 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4284834698 Practice locations: Flushing, NY
O20260102000671 NY Part B Supplier - Pharmacy 4284834698 Practice locations: Flushing, 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
Primacare Plus Pharmacy Inc3703 Main St, Flushing, NY 11354-4106(718) 886-5683 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 24, 2025

National Provider Directory

National Provider Directory

Locations

3703 Main St
Fl 1
Flushing, NY 11354
Phone (718) 886-5683

3703 Main St
Flushing, NY 11354
Phone (718) 886-5683

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1770717993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-03 MAIN STREET",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 MAIN ST",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544106",
            "telephone_number": "718-886-5683",
            "fax_number": "718-886-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE PLUS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "WING TAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-575-1884"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03139911",
            "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 Apr 6, 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.

Verify at the official NPI Registry.