Healthcare Provider Details

I. General information

NPI: 1184557258
Provider Name (Legal Business Name): RONGZHEN LU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 BROADWAY
ELMHURST NY
11373-1329
US

IV. Provider business mailing address

14918 96TH ST
OZONE PARK NY
11417-2911
US

V. Phone/Fax

Practice location:
  • Phone: 718-334-4900
  • Fax:
Mailing address:
  • Phone: 917-238-7783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI071845-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: