Mi Farmacia

LBN: 90-15 Roosevelt Pharmacy Corp
Mi Farmacia is an health care organization with primary practice located at 9015 Roosevelt Ave , Jackson Heights NY 11372-7938. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 90-15 Roosevelt Pharmacy Corp can be contacted via phone (718) 429-7666, or through Luna, Elena via phone (718) 429-7666.

Contact Information

Primary practice address
9015 Roosevelt Ave Jackson Heights NY 11372-7938
Phone: (718) 429-7666
Fax: (718) 898-9505
Website:
Map and Directions
Authorized official contact:
Name: Luna, Elena RPH
Phone: (718) 429-7666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 024229 New York

Profile Details

NPI number 1831201847
LBN Legal business name 90-15 Roosevelt Pharmacy Corp
DBA Doing business as Mi Farmacia
Authorized official Luna, Elena RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831201847 NPPES
New York MEDICAID 1922307
New York Other 2057679

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