Individual provider Active NPI

Heung Lam

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1831428085
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040838 Issued in NY
Practice address
14102 Northern Blvd
Flushing, NY 11354-4239
Phone
(718) 762-3784
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040838 NY Primary

Addresses

Primary practice location

14102 Northern Blvd
Flushing, NY 11354-4239

Mailing address

14102 Northern Blvd
Flushing, NY 11354-4239
Phone (718) 762-3784

Other names 1

  • Mr. John Heung Lam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
040838NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Pharmacy LLC Current Accepting new patients
JW Pharmacy LLC Pharmacist Current Accepting new patients

Locations

14102 Northern Blvd
Flushing, NY 11354
Phone (513) 972-4621

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1831428085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544239",
            "telephone_number": "718-762-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544239",
            "telephone_number": "718-762-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "HEUNG",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LAM",
            "middle_name": "HEUNG",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 22, 2022; 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.