Provider Demographics
NPI:1407291040
Name:HK PHARMACY INC.
Entity Type:Organization
Organization Name:HK PHARMACY INC.
Other - Org Name:HK PHARMACY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-799-0660
Mailing Address - Street 1:4146 MAIN ST UNIT A10
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3183
Mailing Address - Country:US
Mailing Address - Phone:718-799-0660
Mailing Address - Fax:718-799-0659
Practice Address - Street 1:4146 MAIN ST UNIT A10
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3183
Practice Address - Country:US
Practice Address - Phone:718-799-0660
Practice Address - Fax:718-799-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0319903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03808197Medicaid
2140787OtherPK