Organization Active NPI

Cherry Pharmacy Inc.

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1942730031
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035492 Issued in NY
Legal business name
CHERRY PHARMACY INC.
Practice address
13440 Cherry Ave # S1
Flushing, NY 11355-4796
Phone
(718) 353-5001
Fax
(718) 353-8002
NPI assigned
Jun 13, 2017
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Edward Shen
Title
President
Phone
(718) 353-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 035492 NY Primary

Addresses

Primary practice location

13440 Cherry Ave # S1
Flushing, NY 11355-4796

Mailing address

13440 Cherry Ave # S1
Flushing, NY 11355-4796
Phone (718) 353-5001

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170727000102 NY DME Supplier - Pharmacy 4183994940 Practice locations: Flushing, NY
O20231002000130 NY Part B Supplier - Pharmacy 4183994940 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
Cherry Pharmacy Inc13440 Cherry Ave, Flushing, NY 11355-4796(718) 353-5001 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 10, 2017

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, 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": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1942730031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 CHERRY AVE # S1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554796",
            "telephone_number": "718-353-5001",
            "fax_number": "718-353-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 CHERRY AVE # S1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554796",
            "telephone_number": "718-353-5001",
            "fax_number": "718-353-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-353-5001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 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.