Healthcare Provider Details

I. General information

NPI: 1265388995
Provider Name (Legal Business Name): HAENGBOK PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14734A NORTHERN BLVD
FLUSHING NY
11354-4339
US

IV. Provider business mailing address

14734A NORTHERN BLVD
FLUSHING NY
11354-4339
US

V. Phone/Fax

Practice location:
  • Phone: 347-368-6226
  • Fax: 347-368-6310
Mailing address:
  • Phone: 347-368-6226
  • Fax: 347-368-6310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KUNG H MIN
Title or Position: OWNER
Credential: MR.
Phone: 917-656-0206