Active NPI
Total Health & Beauty Pharmacy
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1023168341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022920
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338680 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- GREAT LAKES DRUG COMPANY
National Provider Directory
National Provider DirectoryNPI 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.