Organization Active NPI

Apple Pharmacy LLC

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1992122600
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032676 Issued in NY
Legal business name
APPLE PHARMACY LLC
Practice address
13221 41St Ave
Unit 1B
Flushing, NY 11355-5853
Phone
(718) 939-3335
Fax
(718) 939-3535
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Heasook KwonNPI 1528382280
Title
Manager
Phone
(718) 939-3335

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 032676 NY Primary

Addresses

Primary practice location

13221 41St Ave
Unit 1B
Flushing, NY 11355-5853

Mailing address

13221 41St Ave
Unit 1B
Flushing, NY 11355-5853
Phone (718) 939-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625001880 NY DME Supplier - Pharmacy 9739304262 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
Apple Pharmacy LLC13221 41St Avenue, Flushing, NY 11355-5853(908) 420-1108 Epoetin|Immunosuppressive Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Surgical Dressings Does not accept assignmentParticipating since May 8, 2014

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1992122600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 41ST AVE",
            "address_2": "UNIT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555853",
            "telephone_number": "718-939-3335",
            "fax_number": "718-939-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 41ST AVE",
            "address_2": "UNIT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555853",
            "telephone_number": "718-939-3335",
            "fax_number": "718-939-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HEASOOK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-939-3335"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032676",
            "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 Jul 15, 2014; 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.