Provider Demographics
NPI:1710692959
Name:DRAGON PHARMACY INC.
Entity Type:Organization
Organization Name:DRAGON PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-258-8222
Mailing Address - Street 1:13338 SANFORD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3967
Mailing Address - Country:US
Mailing Address - Phone:718-799-0832
Mailing Address - Fax:718-799-0883
Practice Address - Street 1:13338 SANFORD AVE STE 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3967
Practice Address - Country:US
Practice Address - Phone:718-799-0832
Practice Address - Fax:718-799-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039949OtherREGISTRATION
NY039949OtherREGISTRATION