Organization Active NPI

Krowns Pharmacy Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1922497528
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KROWNS PHARMACY INC
Practice address
4139 Main St
Flushing, NY 11355-3132
Phone
(718) 961-3373
Fax
(718) 961-3311
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Queenie Cheung, PHARMACISTNPI 1033431291
Title
President
Phone
(718) 961-3373

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 1

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

Addresses

Primary practice location

4139 Main St
Flushing, NY 11355-3132

Mailing address

4139 Main St
Flushing, NY 11355-3132
Phone (718) 961-3373

Other identifiers 2

IdentifierTypeStateIssuer
5812967OtherNYNCPDP
04334103MedicaidNY

Other names 1

  • MEDI-SPACE DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150903000959 NY Part B Supplier - Pharmacy 0648586776 Practice locations: Flushing, NY
O20170123002602 NY DME Supplier - Pharmacy 0648586776 Practice locations: Flushing, NY
O20210119002713 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0648586776 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
Krowns Pharmacy Inc4139 Main St, Flushing, NY 11355-3132(718) 961-3373 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 14, 2015

National Provider Directory

National Provider Directory

Locations

11906 Merrick Blvd
#B
Jamaica, NY 11434
Phone (718) 749-5750

Practitioners & affiliated clinicians

Practitioners 2

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": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1922497528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553132",
            "telephone_number": "718-961-3373",
            "fax_number": "718-961-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553132",
            "telephone_number": "718-961-3373",
            "fax_number": "718-961-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROWNS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "QUEENIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-3373",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5812967",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04334103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI-SPACE DRUGS",
            "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 Feb 10, 2017; 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.