OrganizationActiveAccepts Medicare
Longevity Pharmacy LLC
NPI 1689701484 · Community/Retail Pharmacy · New York, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1689701484
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Romond Fung, Member(212) 693-8866
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
96 E Broadway
New York, NY 10002-7031
Phone: (212) 693-8866
Fax: (815) 425-8920
Street-level locationGet directions
Mailing address
96 E Broadway
New York, NY 10002-7031
Other names (DBA / former)
- Doing business as
- Fuzhou Pharmacy
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.