Organization Active NPI

Allstar Pharmacy Inc

  • Pharmacy
  • Flushing, NY
National Provider Identifier
1992002414
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
030601 Issued in NY
Legal business name
ALLSTAR PHARMACY INC
Practice address
41-69 Kissena Blvd
Flushing, NY 11355
Phone
(718) 886-6618
Fax
(718) 886-6619
NPI assigned
Feb 18, 2011
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. Raymond Yung Cheung, PHARM DNPI 1730403866
Title
President
Phone
(718) 886-6618

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
Pharmacy 333600000X 030601 NY Primary

Addresses

Primary practice location

41-69 Kissena Blvd
Flushing, NY 11355

Mailing address

41-69 Kissena Blvd
Flushing, NY 11355
Phone (718) 886-6618

Other identifiers 1

IdentifierTypeStateIssuer
03344781MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110729000226 NY DME Supplier - Pharmacy 6800064239 Practice locations: Flushing, NY
O20240604003349 NY Part B Supplier - Pharmacy 6800064239 Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

14241 Roosevelt Ave
Flushing, NY 11354
Phone (718) 450-5857

4169 Kissena Blvd
Flushing, NY 11355
Phone (718) 886-6618

Practitioners & affiliated clinicians

Practitioners 4

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": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1992002414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-69 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-886-6618",
            "fax_number": "718-886-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-69 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-886-6618",
            "fax_number": "718-886-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "YUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03344781",
            "state": "NY"
        }
    ],
    "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 Jun 23, 2021; 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.