Organization Active NPI

Seventh Elm Drug Corp

Doing business as Elm Drugs

  • Pharmacy
  • New York, NY
National Provider Identifier
1023328085
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
030275 Issued in NY
Legal business name
SEVENTH ELM DRUG CORP
Doing business as
Elm Drugs
Practice address
56 7TH Ave
New York, NY 10011-6672
Phone
(212) 255-6100
Fax
(212) 255-6112
NPI assigned
Oct 8, 2010
Organization subpart
Yes
Parent organization
SEVENTH ELM DRUG CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Elena Baranov, RPHNPI 1275680613
Title
President
Phone
(212) 255-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 030275 NY Primary
Community/Retail Pharmacy 3336C0003X 28RO00144100 NJ

Addresses

Primary practice location

56 7TH Ave
New York, NY 10011-6672

Mailing address

56 7TH Ave
New York, NY 10011-6672
Phone (212) 255-6100

Other identifiers 2

IdentifierTypeStateIssuer
2127205OtherPK
03283387MedicaidNY

Other names 1

  • Elm Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110114000278 NY DME Supplier - Pharmacy 8729277215 Practice locations: New York, NY
O20140806001795 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8729277215 Practice locations: New York, NY
O20210113002082 NY Part B Supplier - Independent Clinical Laboratory 8729277215 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Seventh Elm Drug Corp2 organizations share this tax ID, including this one
Part of
Seventh Elm Drug Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

56 7th Ave
Frnt 1
New York, NY 10011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1023328085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116672",
            "telephone_number": "212-255-6100",
            "fax_number": "212-255-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116672",
            "telephone_number": "212-255-6100",
            "fax_number": "212-255-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH ELM DRUG CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEVENTH ELM DRUG CORP",
        "enumeration_date": "2010-10-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "BARANOV",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-255-6100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030275",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RO00144100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127205",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03283387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elm Drugs",
            "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 Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.