Organization Active NPI

Citypharma Inc

Doing business as MedRite Pharmacy

  • Community/Retail Pharmacy
  • Jackson Heights, NY
National Provider Identifier
1790176048
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033345 Issued in NY
Legal business name
CITYPHARMA INC
Doing business as
MedRite Pharmacy
Practice address
7316 Roosevelt Ave
Jackson Heights, NY 11372-6336
Phone
(917) 832-6035
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Lynn Youn
Title
President
Phone
(917) 832-6035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033345 NY Primary

Addresses

Primary practice location

7316 Roosevelt Ave
Jackson Heights, NY 11372-6336

Mailing address

7316 Roosevelt Ave
Jackson Heights, NY 11372-6336
Phone (917) 832-6035

Other identifiers 1

IdentifierTypeStateIssuer
2150927OtherPK

Other names 1

  • MedRite Pharmacy Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150817000711 NY DME Supplier - Pharmacy 8527373844 Practice locations: Jackson Heights, NY
O20240130000039 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8527373844 Practice locations: Jackson Heights, NY
O20260601002520 NY Part B Supplier - Pharmacy 8527373844 Practice locations: Jackson Heights, 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
Citypharma Inc7316 Roosevelt Ave, Jackson Heights, NY 11372-6336(917) 832-6035 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Pneumatic Compression … Does not accept assignmentParticipating since Jul 17, 2015

National Provider Directory

National Provider Directory

Locations

7316 Roosevelt Ave
Jackson Heights, NY 11372
Phone (917) 832-6035

Practitioners & affiliated clinicians

Practitioners 3

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": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1790176048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726336",
            "telephone_number": "917-832-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726336",
            "telephone_number": "917-832-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYPHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "YOUN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-832-6035"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedRite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.