Provider Demographics
NPI:1578669867
Name:FAMILYPLUS PHARMACY CORPORATION
Entity Type:Organization
Organization Name:FAMILYPLUS PHARMACY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-732-3388
Mailing Address - Street 1:102 MOTT ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5600
Mailing Address - Country:US
Mailing Address - Phone:212-732-3388
Mailing Address - Fax:212-732-3337
Practice Address - Street 1:102 MOTT ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5600
Practice Address - Country:US
Practice Address - Phone:212-732-3388
Practice Address - Fax:212-732-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02664666Medicaid
NY3345457OtherNABP #
NY5466500001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #