Organization Active NPI

Julie Pharmacy Inc

  • Community/Retail Pharmacy
  • Corona, NY
National Provider Identifier
1831241181
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021562 Issued in NY
Legal business name
JULIE PHARMACY INC
Practice address
10401 Northern Blvd
Corona, NY 11368-1134
Phone
(718) 335-5424
Fax
(718) 335-5424
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Seul Ko
Title
Owner
Phone
(718) 335-5424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 021562 NY Primary

Addresses

Primary practice location

10401 Northern Blvd
Corona, NY 11368-1134

Mailing address

10401 Northern Blvd
Corona, NY 11368-1134

Other identifiers 3

IdentifierTypeStateIssuer
3392571OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01305664MedicaidNY
3392571OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

10401 Northern Blvd
Flushing, NY 11368
Phone (646) 809-9595

Practitioners & affiliated clinicians

Practitioners 1

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1831241181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681134",
            "telephone_number": "718-335-5424",
            "fax_number": "718-335-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "SEUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-335-5424"
    },
    "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": "021562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3392571",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3392571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.