Organization Active NPI

RVK Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1043458136
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029272 Issued in NY
Legal business name
RVK PHARMACY
Practice address
170 Dyckman St
New York, NY 10040-1004
Phone
(212) 567-2434
Fax
(212) 567-2436
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Angel Liriano
Title
President
Phone
(914) 479-8579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029272 NY Primary

Addresses

Primary practice location

170 Dyckman St
New York, NY 10040-1004

Mailing address

170 Dyckman St
New York, NY 10040-1004
Phone (212) 567-2434

Other identifiers 1

IdentifierTypeStateIssuer
3359850OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Santa Clara Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

170 Dyckman St
New York, NY 10040
Phone (212) 567-2434

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1043458136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 DYCKMAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401004",
            "telephone_number": "212-567-2434",
            "fax_number": "212-567-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DYCKMAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401004",
            "telephone_number": "212-567-2434",
            "fax_number": "212-567-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "LIRIANO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-479-8579"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3359850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Clara 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 Apr 20, 2011; 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.