Organization Active NPI

Drug Mart II RX LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1043047574
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DRUG MART II RX LLC
Practice address
Drug Mart II Pharmacy
4873 Broadway
New York, NY 10034-3134
Phone
(212) 569-4400
Fax
(212) 569-5400
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Het Gautamkumar Patel
Title
President
Phone
(212) 569-4400

Specialties & licenses 1

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

Addresses

Primary practice location

Drug Mart II Pharmacy
4873 Broadway
New York, NY 10034-3134

Mailing address

Drug Mart II Pharmacy
4873 Broadway
New York, NY 10034
Phone (212) 569-4400

Other names 1

  • DRUG MART II PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250519000555 NY Part B Supplier - Pharmacy 6608394135 Practice locations: New York, NY
O20250623002928 NY DME Supplier - Pharmacy 6608394135 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Drug Mart II Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1043047574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DRUG MART II PHARMACY",
            "address_2": "4873 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "212-569-4400",
            "fax_number": "212-569-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DRUG MART II PHARMACY",
            "address_2": "4873 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343134",
            "telephone_number": "212-569-4400",
            "fax_number": "212-569-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG MART II RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HET",
        "authorized_official_middle_name": "GAUTAMKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-569-4400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG MART II PHARMACY",
            "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 Aug 12, 2025; 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.