Active NPI
Blend Labs RX, LLC.
- Pharmacy
- South Richmond Hill, NY
National Provider Identifier
1053903104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038542 | Other | NY | NEW YORK STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- South Richmond Hill, NY
- NPI 1942431150
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.