Provider Demographics
NPI:1881978336
Name:CONFUCIUS PHARMACY INC
Entity type:Organization
Organization Name:CONFUCIUS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:347-551-3356
Mailing Address - Street 1:4323 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4743
Mailing Address - Country:US
Mailing Address - Phone:212-966-4420
Mailing Address - Fax:212-966-5981
Practice Address - Street 1:4323 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4743
Practice Address - Country:US
Practice Address - Phone:212-966-4420
Practice Address - Fax:212-966-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1436076-DCA332B00000X, 332B00000X
NY0313293336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2132200OtherPK
NY03546921Medicaid
0409920002Medicare NSC