Jae Il Pharmacy Inc
NPI 1215979513 · Community/Retail Pharmacy · Flushing, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jae Il Pharmacy Inc is a Community/Retail Pharmacy organization in Flushing, NY (NPI 1215979513).
Provider details
- NPI number
- 1215979513
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Anne Park, Supervising Pharmacist(718) 460-3825
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Corner Pharmacy
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2012-07-06
Frequently asked questions
- What is Jae Il Pharmacy Inc's NPI number?
- Jae Il Pharmacy Inc's National Provider Identifier (NPI) is 1215979513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jae Il Pharmacy Inc?
- Jae Il Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jae Il Pharmacy Inc located?
- Jae Il Pharmacy Inc's practice location on file with NPPES is 4103 Union St, Flushing, NY 11355-2452.
- What is Jae Il Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Jae Il Pharmacy Inc is (718) 460-3825.
- Does Jae Il Pharmacy Inc accept Medicare?
- Jae Il Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jae Il Pharmacy Inc?
- The authorized official listed on Jae Il Pharmacy Inc's NPPES record is Anne Park, Supervising Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jae Il Pharmacy Inc's NPI active?
- Yes — Jae Il Pharmacy Inc's NPI (1215979513) is active in the NPPES registry as of the last update on 2012-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.