Healthcare Provider Details

I. General information

NPI: 1649106295
Provider Name (Legal Business Name): XH PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4404 KISSENA BLVD
FLUSHING NY
11355-3054
US

IV. Provider business mailing address

4404 KISSENA BLVD
FLUSHING NY
11355-3054
US

V. Phone/Fax

Practice location:
  • Phone: 917-768-3882
  • Fax: 917-768-8028
Mailing address:
  • Phone: 917-768-3882
  • Fax: 917-768-8028

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: MS. XIAO QUN LI
Title or Position: OWNER
Credential:
Phone: 917-768-3882