Smile Pharmacy,Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029190 Issued in NY

Legal business name

SMILE PHARMACY,INC

Practice address

15011 Northern Blvd
Flushing, NY 11354-3836

Phone

(718) 358-3800

NPI assigned

Sep 20, 2008

Last updated

Mar 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tae H LeeNPI 1659554590

Title

President

Phone

(718) 358-3800

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Tae H Lee, RPH

  • Pharmacist
  • Flushing, NY
  • NPI 1659554590
  Authorized official Same address or phone

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1922258466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15011 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543836",
            "telephone_number": "718-358-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15011 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543836",
            "telephone_number": "718-358-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-358-3800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF PHARMACY",
            "identifier": "029190",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03073461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Slotwiner, MD
• Jeanne Small
• Zaire Smalls
• Smile Adult Daycare Inc
• Smile Pharmacy, Inc
• Smileline Orthodontics
• Smilesweet Orthodontics PC
• Maria Smilios, RN
• Brian Austin Smith, DO
• Chudian Smith, RN

• 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 Mar 10, 2009; 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.