Lic Pharmacy Corp
NPI 1649936980ActiveOrganization· Pharmacy· Long Island City, NY
Pharmacy in Long Island City, New York, registered in NPPES in November 2021. The authorized official on file is Zeeshan Safdar, President. Enrolled in Medicare as part b supplier - mass immunization (roster biller only) and part b supplier - pharmacy.
Overview
| NPI | 1649936980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2021 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (NY); Part B Supplier - Pharmacy (NY) |
|---|
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