MEDICARE: MEDINA PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	018486	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2145101	OTHER		PK

General Provider Information

NPI Number	:	1194864793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDINA PHARMACY INC

Provider Business Mailing Address
First Line	:	5721 5TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3876
Country	:	US
Telephone Number	:	718-439-3500
Fax Number	:	718-439-5207

Provider Business Practice Location Address
First Line	:	5721 5TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3876
Country	:	US
Telephone Number	:	718-439-3500
Fax Number	:	718-439-5207

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FONG CHEUNG
Credential	:
Telephone Number	:	718-439-3500

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/09/2026

Similar Medicare Providers

1396370565 — YOUNGMIN LEE
Practice Location Address:

5721 5TH AVE
BROOKLYN, NY
11220-3876

Practice Phone: 718-439-3500
Practice Fax:

1598635724 — ANGELICA AGUILAR PA
Practice Location Address:

5721 5TH AVE
BROOKLYN, NY
11220-3876

Practice Phone: 718-439-1114
Practice Fax:

1043181654 — GIGI ZHIMEI SUN
Practice Location Address:

5604 7TH AVE
BROOKLYN, NY
11220-4660

Practice Phone: 917-678-6533
Practice Fax:

1285476598 — BIANCA VEKIMA DDS
Practice Location Address:

514 49TH ST
BROOKLYN, NY
11220-2010

Practice Phone: 718-630-7942
Practice Fax:

1902464498 — HONG GU YEO
Practice Location Address:

802 64TH ST STE 3G
BROOKLYN, NY
11220-5574

Practice Phone: 714-725-6680
Practice Fax:

1245173889 — DR. JENNY YE EUN PARK DPM
Practice Location Address:

150 55TH ST
BROOKLYN, NY
11220-2508

Practice Phone: 718-630-7000
Practice Fax:

Directions to “MEDINA PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.