Elena Luna, RPH
Individual provider Active NPI Pharmacist · Jackson Heights, NY
NPI 1801119540 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1801119540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36940 (NY)
- Practice address
- 3765 90TH St
Jackson Heights, NY 11372-7829 - Phone
- (718) 446-2068
- Fax
- (718) 898-9505
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36940 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 90-15 Roosevelt Pharmacy Corp | Current | Accepting new patients | |
| Al Kosto Inc | Current | Accepting new patients |
Locations
3765 90th St
Jackson Heights, NY 11372
Phone (718) 446-2068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36940 | NY | Yes |
Addresses
Primary practice location
3765 90TH St
Jackson Heights, NY 11372-7829
Mailing address
3765 90TH St
Jackson Heights, NY 11372-7829
Phone (718) 446-2068
Other providers in Jackson Heights, NY
- Lucky Pharmacy Inc.
- Shelley Lugo
- Alyssa Lukenovich
- Jomah Sison Lumagui
- Cindy Ivette Luna
- Luxtresses Cranial Wigs Inc
- M.B.Ahmed Drug Corp
- M&J Optical Incorporated
- Mary Stephanie Macancela
- Caitlin Maccrate
All providers in Jackson Heights, NY · Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.