Individual provider Active NPI

Leilei Lin

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1992349930
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066304 Issued in NY
Practice address
3907 Prince St Ste 1B
Flushing, NY 11354-5321
Phone
(917) 983-2638
NPI assigned
Nov 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066304 NY Primary

Addresses

Primary practice location

3907 Prince St Ste 1B
Flushing, NY 11354-5321

Mailing address

14454 35TH Ave Apt 3C
Flushing, NY 11354-3652
Phone (917) 834-7714

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL other Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
066304NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Light RX Inc CurrentSince Nov 24, 2025 Accepting new patients
Essential Drugs Inc CurrentSince Jun 22, 2021 Accepting new patients
Main Street Drugs Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

3907 Prince St
Ste 1B
Flushing, NY 11354
Phone (917) 983-2638

13615 41st Ave
Flushing, NY 11355
Phone (347) 732-0905

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1992349930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14454 35TH AVE APT 3C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543652",
            "telephone_number": "917-834-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545321",
            "telephone_number": "917-983-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "LEILEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "other",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13615 41st Ave",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113552433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 19, 2025; 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.