Organization Active NPI

Comfort Care Pharmacy Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1063740306
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
029849 Issued in NY
Legal business name
COMFORT CARE PHARMACY INC
Practice address
1990 Lexington Ave
New York, NY 10035-2902
Phone
(212) 410-4200
Fax
(212) 410-4201
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Wissam Ayoub
Title
President
Phone
(248) 854-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029849 NY Primary

Addresses

Primary practice location

1990 Lexington Ave
New York, NY 10035-2902

Mailing address

1990 Lexington Ave
New York, NY 10035-2902
Phone (212) 410-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930043518 NY DME Supplier - Pharmacy 6103016670 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Comfort Care Pharmacy Inc1990 Lexington Ave, New York, NY 10035-2902(212) 410-4200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 11, 2010

National Provider Directory

National Provider Directory

Locations

1990 Lexington Ave
New York, NY 10035
Phone (212) 410-4200

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1063740306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352902",
            "telephone_number": "212-410-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352902",
            "telephone_number": "212-410-4200",
            "fax_number": "212-410-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-854-9818"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.