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JW PHARMACY LLC NPI 1780693903


NPI Information

NPI: 1780693903
Provider Name: JW PHARMACY LLC
Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 33D2210387

Address:
14102 NORTHERN BLVD
FLUSHING, NY
ZIP 11354
Phone: (718) 762-3784
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JW PHARMACY LLC is a pharmacist in Flushing, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. JW PHARMACY LLC NPI is 1780693903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14102 NORTHERN BLVD
FLUSHING, NY
ZIP 11354-239
Phone: (718) 762-3784
Fax: (718) 762-9324

The provider's authorized official is John Lam .
The authorized official title is President and has the following contact phone number (718) 762-3784.

The CLIA number assigned to this NPI record is 33D2210387 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 11/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist025207NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102192161MEDICAIDNEW YORK
24417400001MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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