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Jae Il Pharmacy Inc

Community/Retail Pharmacy in Flushing, NY · enumerated 2006 · authorized official Anne Park, Supervising Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215979513

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Registry record

Entity type Organization (Type 2)
Legal business name Jae Il Pharmacy Inc
Other name <Unavail>
Practice address 4103 Union St, Flushing, NY, 11355
Phone (718) 460-3825
Fax (718) 762-5842
Enumeration date Jun 12, 2006
Last updated in NPPES Jul 6, 2012

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 021251 (NY) Primary

Authorized official

Name Anne Park
Title Supervising Pharmacist
Phone (718) 460-3825

Other identifiers

Identifier Type State Issuer
3321142 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
01764974 Medicaid NY -

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.

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Frequently asked questions

Who is the authorized official for Jae Il Pharmacy Inc?
NPPES lists Anne Park (Supervising Pharmacist) as the authorized official for this organization.
What is the NPI number for Jae Il Pharmacy Inc?
The NPI for Jae Il Pharmacy Inc is 1215979513, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-06.