Organization Active NPI

Hana Pharmacy Inc

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1801989231
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
025048 Issued in NY
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

Updated by the provider on Jun 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3320520OtherOTHER ID NUMBER-COMMERCIAL NUMBER
02116076MedicaidNY

Other names 1

  • SUPER VALUE DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.