Organization Active NPI

143 Pharmacy Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1992522577
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
143 PHARMACY INC
Practice address
14320 Sanford Ave FL 1
Flushing, NY 11355-2044
Phone
(347) 506-0066
Fax
(347) 506-0038
NPI assigned
Sep 24, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Yan Xing Lin
Title
Owner
Phone
(347) 506-0066

Specialties & licenses 1

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

Addresses

Primary practice location

14320 Sanford Ave FL 1
Flushing, NY 11355-2044

Mailing address

14320 Sanford Ave FL 1
Flushing, NY 11355-2044
Phone (347) 506-0066

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250113001459 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1557899986 Practice locations: Flushing, NY
O20250506003568 NY DME Supplier - Pharmacy 1557899986 Practice locations: Flushing, NY
O20260609003386 NY Part B Supplier - Pharmacy 1557899986 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
143 Pharmacy Inc14320 Sanford Ave, Flushing, NY 11355-2044(347) 506-0066 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 26, 2024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1992522577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 SANFORD AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552044",
            "telephone_number": "347-506-0066",
            "fax_number": "347-506-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14320 SANFORD AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552044",
            "telephone_number": "347-506-0066",
            "fax_number": "347-506-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "143 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "YAN XING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-506-0066"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 Nov 27, 2024; 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.