Lic Pharmacy Corp
NPI 1649936980 · Pharmacy · Long Island City, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lic Pharmacy Corp is a Pharmacy organization in Long Island City, NY (NPI 1649936980).
Provider details
- NPI number
- 1649936980
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rong Tian Yu, President(347) 242-2981
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Registry dates
- Enumerated
- 2021-11-10
- Last updated
- 2021-11-10
- Certified
- 2021-11-10
Frequently asked questions
- What is Lic Pharmacy Corp's NPI number?
- Lic Pharmacy Corp's National Provider Identifier (NPI) is 1649936980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lic Pharmacy Corp?
- Lic Pharmacy Corp is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Lic Pharmacy Corp located?
- Lic Pharmacy Corp's practice location on file with NPPES is 4035 21st St Ste 4c, Long Island City, NY 11101-6140.
- What is Lic Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Lic Pharmacy Corp is (347) 242-2981.
- Does Lic Pharmacy Corp accept Medicare?
- Lic Pharmacy Corp 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 Lic Pharmacy Corp?
- The authorized official listed on Lic Pharmacy Corp's NPPES record is Rong Tian Yu, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lic Pharmacy Corp's NPI active?
- Yes — Lic Pharmacy Corp's NPI (1649936980) is active in the NPPES registry as of the last update on 2021-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.