Organization Active NPI

Sunrise Pharmacy Inc.

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1770760894
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022852 Issued in NY
Legal business name
SUNRISE PHARMACY INC.
Practice address
7611 Broadway
Elmhurst, NY 11373-1032
Phone
(718) 507-9277
Fax
(718) 507-9278
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
William Hwang
Title
President
Phone
(718) 507-9277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022852 NY Primary

Addresses

Primary practice location

7611 Broadway
Elmhurst, NY 11373-1032

Mailing address

7611 Broadway
Elmhurst, NY 11373-1032
Phone (718) 507-9277

Other identifiers 2

IdentifierTypeStateIssuer
2059464OtherPK
01636846MedicaidNY

Other names 1

  • Queens Health Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

7611A Broadway
Elmhurst, NY 11373
Phone (718) 507-9277

7611 Broadway
Elmhurst, NY 11373
Phone (718) 507-9277

Practitioners & affiliated clinicians

Practitioners 1

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1770760894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731032",
            "telephone_number": "718-507-9277",
            "fax_number": "718-507-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731032",
            "telephone_number": "718-507-9277",
            "fax_number": "718-507-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-507-9277"
    },
    "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": "022852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01636846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.