Organization Active NPI

Canalberry Drugs Inc.

Doing business as MK Drugstore

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1871397554
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CANALBERRY DRUGS INC.
Doing business as
MK Drugstore
Practice address
13618 Maple Ave Unit B
Flushing, NY 11355-4244
Phone
(718) 799-0668
Fax
(718) 799-0669
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Xiao Fen Zhao
Title
Vice President
Phone
(718) 799-0668

Specialties & licenses 1

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

Addresses

Primary practice location

13618 Maple Ave Unit B
Flushing, NY 11355-4244

Mailing address

13618 Maple Ave Unit B
Flushing, NY 11355-4244
Phone (718) 799-0668

Other names 1

  • MK Drugstore Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250509002286 NY Part B Supplier - Pharmacy 3678090107 Practice locations: Flushing, NY
O20250715000749 NY DME Supplier - Pharmacy 3678090107 Practice locations: Flushing, 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
Canalberry Drugs Inc.13618 Maple Ave, Flushing, NY 11355(718) 799-0668 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 24, 2025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1871397554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 MAPLE AVE UNIT B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554244",
            "telephone_number": "718-799-0668",
            "fax_number": "718-799-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 MAPLE AVE UNIT B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554244",
            "telephone_number": "718-799-0668",
            "fax_number": "718-799-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANALBERRY DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "XIAO",
        "authorized_official_middle_name": "FEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-799-0668"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Drugstore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2025; 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.