Roosevelt Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROOSEVELT PHARMACY INC

Practice address

13355 Roosevelt Ave
Flushing, NY 11354-5254

Phone

(718) 888-1500

Fax

(718) 358-3600

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Hengda Liu

Title

Owner

Phone

(718) 888-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1861880296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545254",
            "telephone_number": "718-888-1500",
            "fax_number": "718-358-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545254",
            "telephone_number": "718-888-1500",
            "fax_number": "718-358-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "HENGDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-888-1500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04123906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M Rong, D.D.S.
• Tara Rooney
• Roosevelt Adult Daycare Center Inc
• Roosevelt Cardiology PC
• Roosevelt Health Medical PLLC
• Roosevelt RX, Inc.
• Kristy Rosado, COTA
• Adriana Sophia Rosales, LMSW
• Juanita Rosario, BIL SPEC ED
• Tannya Rosas

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, 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 May 28, 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.