Organization Active NPI

Embrace Pharmacy Inc.

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1831965623
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EMBRACE PHARMACY INC.
Practice address
5216 Van Loon St # 1a
Elmhurst, NY 11373-4267
Phone
(347) 507-1777
Fax
(347) 507-1772
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Xiao Ling LiuNPI 1760861686
Title
Owner
Phone
(347) 507-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

5216 Van Loon St # 1a
Elmhurst, NY 11373-4267

Mailing address

5216 Van Loon St # 1a
Elmhurst, NY 11373-4267
Phone (347) 507-1777

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240304002385 NY Part B Supplier - Pharmacy 6305281049 Practice locations: Elmhurst, NY
O20241230000871 NY DME Supplier - Pharmacy 6305281049 Practice locations: Elmhurst, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Embrace Pharmacy Inc5216 Van Loon St, Elmhurst, NY 11373-4267(347) 507-1777 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 22, 2024

National Provider Directory

National Provider Directory

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": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1831965623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 VAN LOON ST # 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734267",
            "telephone_number": "347-507-1777",
            "fax_number": "347-507-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 VAN LOON ST # 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734267",
            "telephone_number": "347-507-1777",
            "fax_number": "347-507-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "XIAO",
        "authorized_official_middle_name": "LING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-507-1777"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.