Active NPI
Sherman Pharmacy Corp.
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1063986495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SHERMAN PHARMACY CORP.
- Practice address
- 232A Sherman Ave
New York, NY 10034-2501 - Phone
- (212) 567-1115
- Fax
- (212) 567-1991
- NPI assigned
- Jan 18, 2019
- 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
- Mr. Andreas P Xanthopoulos
- Title
- Pharmacist in Charge
- Phone
- (212) 567-1115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
232A Sherman Ave
New York, NY 10034-2501
Mailing address
232A Sherman Ave
New York, NY 10034-2501
Phone (212) 567-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191112003159 | NY | DME Supplier - Pharmacy | 1951733922 | Practice locations: New York, NY |
| O20210504002893 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951733922 | Practice locations: New York, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1902086820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547856000000",
"number": "1063986495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232A SHERMAN AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342501",
"telephone_number": "212-567-1115",
"fax_number": "212-567-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232A SHERMAN AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342501",
"telephone_number": "212-567-1115",
"fax_number": "212-567-1991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERMAN PHARMACY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-19",
"status": "A",
"authorized_official_last_name": "XANTHOPOULOS",
"authorized_official_first_name": "ANDREAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "212-567-1115",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"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 Jan 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.