Organization Active NPI

Total Health & Beauty Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1023168341
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022920 Issued in NY
Legal business name
TOTAL HEALTH & BEAUTY PHARMACY
Practice address
4873 Broadway
New York, NY 10034-3134
Phone
(212) 942-8785
Fax
(212) 942-8791
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Rotstein, RPH
Title
Supv PHRM
Phone
(212) 942-8785

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022920 NY Primary

Addresses

Primary practice location

4873 Broadway
New York, NY 10034-3134

Mailing address

4873 Broadway
New York, NY 10034-3134
Phone (212) 942-8785

Other identifiers 1

IdentifierTypeStateIssuer
3338680OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GREAT LAKES DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1023168341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343134",
            "telephone_number": "212-942-8785",
            "fax_number": "212-942-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343134",
            "telephone_number": "212-942-8785",
            "fax_number": "212-942-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH & BEAUTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "ROTSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SUPV PHRM",
        "authorized_official_telephone_number": "212-942-8785",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3338680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.