Provider Demographics
NPI:1104270487
Name:MY FAMILY PHARMACY INC
Entity type:Organization
Organization Name:MY FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOLANI
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-440-9201
Mailing Address - Street 1:8215 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1457
Mailing Address - Country:US
Mailing Address - Phone:718-440-9201
Mailing Address - Fax:718-440-9882
Practice Address - Street 1:8215 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1457
Practice Address - Country:US
Practice Address - Phone:718-440-9201
Practice Address - Fax:718-440-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy