Active NPI
Hana Pharmacy Inc
- Pharmacy
- Flushing, NY
National Provider Identifier
1801989231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 025048
- Legal business name
- HANA PHARMACY INC
- Practice address
- 2926 Union St
Flushing, NY 11354-2201 - Phone
- (718) 359-3373
- Fax
- (718) 321-8647
- NPI assigned
- Sep 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myeongha Jo
- Title
- Owner
- Phone
- (718) 359-3373
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 025048 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2926 Union St
Flushing, NY 11354-2201
Mailing address
2926 Union St
Flushing, NY 11354-2201
Phone (718) 359-3373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3320520 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 02116076 | Medicaid | NY |
Other names 1
- SUPER VALUE DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930044335 | NY | DME Supplier - Pharmacy | 7416161591 | Practice locations: Flushing, NY |
| O20171206000173 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416161591 | Practice locations: Flushing, NY |
National Provider Directory
National Provider DirectoryLocations
2926 Union St
Flushing, NY 11354
Phone (718) 359-3373
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fresh Meadows, NY
- NPI 1760752760
-
- Pharmacist
- Flushing, NY
- NPI 1972029387
-
- Pharmacist
- Flushing, NY
- NPI 1548583016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1801989231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2926 UNION ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113542201",
"telephone_number": "718-359-3373",
"fax_number": "718-321-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 UNION ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113542201",
"telephone_number": "718-359-3373",
"fax_number": "718-321-8647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "JO",
"authorized_official_first_name": "MYEONGHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-359-3373"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "025048",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3320520",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02116076",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUPER VALUE DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 18, 2008; 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.