Provider Demographics
NPI:1356457741
Name:TOP CARE PHARMACY CORP
Entity Type:Organization
Organization Name:TOP CARE PHARMACY CORP
Other - Org Name:TOP CARE PHARMACY CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-886-8833
Mailing Address - Street 1:13604 NORTHERN BLVD
Mailing Address - Street 2:UNIT CU2
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6557
Mailing Address - Country:US
Mailing Address - Phone:718-886-8833
Mailing Address - Fax:718-886-6818
Practice Address - Street 1:13604 NORTHERN BLVD
Practice Address - Street 2:UNIT CU2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6557
Practice Address - Country:US
Practice Address - Phone:718-886-8833
Practice Address - Fax:718-886-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0268153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02594769Medicaid
NY02594765Medicaid
2062969OtherPK