Organization Active NPI

Dynasty Drug and Trading Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1043225667
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018828 Issued in NY
Legal business name
DYNASTY DRUG AND TRADING INC
Practice address
208 Mott St
New York, NY 10012-4102
Phone
(212) 226-1415
Fax
(212) 226-1701
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Stanley Chu
Title
Supervising Pharmacist
Phone
(212) 226-1415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 018828 NY Primary

Addresses

Primary practice location

208 Mott St
New York, NY 10012-4102

Mailing address

208 Mott St
New York, NY 10012-4102
Phone (212) 226-1415

Other identifiers 2

IdentifierTypeStateIssuer
3385425OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00919200MedicaidNY

Other names 1

  • POLYPHARM DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1043225667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124102",
            "telephone_number": "212-226-1415",
            "fax_number": "212-226-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124102",
            "telephone_number": "212-226-1415",
            "fax_number": "212-226-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY DRUG AND TRADING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-226-1415"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3385425",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLYPHARM 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 Dec 28, 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.