Organization Active NPI

Blend Labs RX, LLC.

  • Pharmacy
  • South Richmond Hill, NY
National Provider Identifier
1053903104
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BLEND LABS RX, LLC.
Practice address
11502 Liberty Ave Ste 200
South Richmond Hill, NY 11419-1938
Phone
(914) 745-7400
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Ms. Samantha Simmonds
Title
Manager
Phone
(914) 745-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

11502 Liberty Ave Ste 200
South Richmond Hill, NY 11419-1938

Mailing address

11502 Liberty Ave Ste 200
South Richmond Hill, NY 11419-1938
Phone (914) 745-7400

Other identifiers 1

IdentifierTypeStateIssuer
038542OtherNYNEW YORK STATE LICENSE

National Provider Directory

National Provider Directory

Locations

11502 Liberty Ave
Ste 200
South Richmond Hill, NY 11419
Phone (914) 745-7400

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": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1053903104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 LIBERTY AVE STE 200",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191938",
            "telephone_number": "914-745-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 LIBERTY AVE STE 200",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191938",
            "telephone_number": "914-745-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEND LABS RX, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-745-7500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "038542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.