Organization Active NPI

Harvard Pharmacy Inc

Doing business as colony pharmacy

  • Community/Retail Pharmacy
  • Great Neck, NY
National Provider Identifier
1033654124
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035172 Issued in NY
Legal business name
HARVARD PHARMACY INC
Doing business as
colony pharmacy
Practice address
481 Middle Neck Rd
Great Neck, NY 11023-1470
Phone
(516) 439-5556
Fax
(516) 439-5557
NPI assigned
Dec 27, 2016
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Ramin KohansimehNPI 1548591647
Title
SP
Phone
(516) 439-5556

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 035172 NY Primary

Addresses

Primary practice location

481 Middle Neck Rd
Great Neck, NY 11023-1470

Mailing address

481 Middle Neck Rd
Great Neck, NY 11023-1470
Phone (516) 439-5556

Other names 1

  • colony pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230117000146 NY Part B Supplier - Pharmacy 4385905942 Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1033654124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231470",
            "telephone_number": "516-439-5556",
            "fax_number": "516-439-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231470",
            "telephone_number": "516-439-5556",
            "fax_number": "516-439-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "KOHANSIMEH",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "516-439-5556"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "colony pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "colony pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.