MEDICARE: PENGKAI LI

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	183500000X	Pharmacist	073165	NY

General Provider Information

NPI Number	:	1518847540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PENGKAI LI

Provider Business Mailing Address
First Line	:	188 AUTUMN AVE APT 1FL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-1702
Country	:	US
Telephone Number	:	917-862-7892
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 PARK AVE S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5313
Country	:	US
Telephone Number	:	212-982-5193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1518247972 — CVS ALBANY LLC
Practice Location Address:

300 PARK AVE S
NEW YORK, NY
10010-5313

Practice Phone: 212-982-5193
Practice Fax:

1841577947 — OLIVIA APRIL SZETO PHARMD
Practice Location Address:

300 PARK AVE S
NEW YORK, NY
10010-5313

Practice Phone: 212-982-5193
Practice Fax:

1104239979 — WAI-KWOK CHONG
Practice Location Address:

300 PARK AVE S
NEW YORK, NY
10010-5313

Practice Phone: 212-982-5193
Practice Fax:

1922522143 — LILY CHIU
Practice Location Address:

300 PARK AVE S
NEW YORK, NY
10010-5313

Practice Phone: 212-982-5193
Practice Fax:

1144537101 — MR. DWIGHT RANDOLPH MONTFORT RPH.
Practice Location Address:

5313 HUDSON AVE
WEST NEW YORK, NJ
07093

Practice Phone: 646-296-8749
Practice Fax:

Directions to “ PENGKAI LI ” 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.