Provider Demographics
NPI:1053055426
Name:NY 88 PHARMACY
Entity Type:Organization
Organization Name:NY 88 PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHENGHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:JIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-886-7918
Mailing Address - Street 1:14603 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3133
Mailing Address - Country:US
Mailing Address - Phone:718-886-7918
Mailing Address - Fax:718-886-7919
Practice Address - Street 1:14603 34TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3133
Practice Address - Country:US
Practice Address - Phone:718-886-7918
Practice Address - Fax:718-886-7919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy