Icon Pharmacy Inc

LBN: Icon Pharmacy Inc
Icon Pharmacy Inc is an health care organization with primary practice located at 4173B Bowne St , Flushing NY 11355. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Icon Pharmacy Inc can be contacted via phone (718) 886-3082, or through Cheang, Kit via phone (718) 886-3082.

Contact Information

Primary practice address
4173B Bowne St Flushing NY 11355
Phone: (718) 886-3082
Fax: (718) 886-3137
Website:
Map and Directions
Authorized official contact:
Name: Cheang, Kit
Phone: (718) 886-3082

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 033844 New York

Profile Details

NPI number 1629444112
LBN Legal business name Icon Pharmacy Inc
DBA Doing business as
Authorized official Cheang, Kit
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2015
Last updated Jun 20th, 2019 - about 7 years ago

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 1629444112 NPPES
New York MEDICAID 04353137

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