Jae Il Pharmacy Inc
Jae Il Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Flushing, NY, holding Type 2 (organization) NPI 1215979513 since 2006. The authorized official on file is Anne Park, Supervising Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215979513 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jae Il Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 4103 UNION ST, Flushing, NY, 11355 |
| Phone | 7184603825 |
| Fax | 7187625842 |
| Enumeration date | 2006-06-12 |
| Last updated in NPPES | 2012-07-06 |
Authorized official
| Name | Anne Park |
|---|---|
| Title | Supervising Pharmacist |
| Phone | 7184603825 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 021251 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3321142 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 01764974 | Medicaid | NY | — |
Copy-ready billing details
Provider: Jae Il Pharmacy Inc NPI: 1215979513 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4103 UNION ST, Flushing, NY, 11355
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790838431 | John Kang | Individual | Otolaryngology Physician | Flushing, NY |
| 1467628065 | Hwajin Park | Individual | Pharmacist | Flushing, NY |
| 1770807448 | Anna Lee | Individual | Pharmacist | Flushing, NY |
| 1295004646 | Hye Mi Oh | Individual | Pharmacist | Flushing, NY |
| 1992114656 | Metropolitan Otolaryngology & Facial Plastics PC | Organization | Specialist | Flushing, NY |
| 1962351569 | Queens Corner Rx LLC | Organization | Community/Retail Pharmacy | Flushing, NY |
Verify this record
Cross-check NPI 1215979513 against the authoritative CMS record: view Jae Il Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jae Il Pharmacy Inc?
What is the NPI number for Jae Il Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-07-06.