90-15 Roosevelt Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024229 Issued in NY

Legal business name

90-15 ROOSEVELT PHARMACY CORP

Doing business as

Mi Farmacia

Practice address

9015 Roosevelt Ave
Jackson Heights, NY 11372-7938

Phone

(718) 429-7666

Fax

(718) 898-9505

NPI assigned

Aug 31, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena Luna, RPHNPI 1801119540

Title

President

Phone

(718) 429-7666

Specialties & licenses 2

Addresses

Other names 1

• MI FARMACIA Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Luna, RPH

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1801119540
  NPD Authorized official
• Carmen L Crespo, RPH

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1801187836
  NPD (past)
• Winnie Hang Diep, PHARMD

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1477733137
  NPD (past)
• Cindy Ivette Luna, PHARM D

  • Pharmacist
  • Jackson Heights, NY
  • NPI 1730402827
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1831201847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-429-7666",
            "fax_number": "718-898-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-429-7666",
            "fax_number": "718-898-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "90-15 ROOSEVELT PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-19",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-429-7666",
        "authorized_official_credential": "RPH"
    },
    "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": "024229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI FARMACIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MI FARMACIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 77 Dental PC
• 77 Pharmacy Inc (77 Pharmacy)
• 77 Pharmacy Inc
• 82ND Dental PLLC
• 84 Street Medical PC
• 9301 Health Medical Corner PC
• 9317 Medical Office PC
• A1 Medicine P.C.
• Richard Allen Aaron, DDS
• Wendell Jamias Abad

• Community/Retail Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.