Active NPI
Healed Pharmacy Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1073338752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HEALED PHARMACY INC
- Practice address
- 828 Lexington Ave # 11
New York, NY 10065-7374 - Phone
- (212) 858-0100
- Fax
- (646) 329-5493
- NPI assigned
- Nov 18, 2024
- 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
- Sam Sweidan
- Title
- Owner
- Phone
- (212) 858-0100
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
828 Lexington Ave # 11
New York, NY 10065-7374
Mailing address
828 Lexington Ave # 11
New York, NY 10065-7374
Phone (212) 858-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250509003104 | NY | DME Supplier - Pharmacy | 6800317199 | Practice locations: New York, NY |
National Provider Directory
National Provider DirectoryLocations
828 Lexington Ave
#11
New York, NY 10065
Phone (212) 858-0100
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
- New York, NY
- NPI 1619419074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1073338752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 LEXINGTON AVE # 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657374",
"telephone_number": "212-858-0100",
"fax_number": "646-329-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 LEXINGTON AVE # 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657374",
"telephone_number": "212-858-0100",
"fax_number": "646-329-5493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALED PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "SWEIDAN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-858-0100"
},
"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
- Headway New Jersey Behavioral Health Services, P.C.
- Headway New Jersey Behavioral Health Services, P.C.
- Headway Wisconsin Behavioral Health Services, S.C.
- Healarian LLC.
- Healdi LLC
- Elizabeth Healey, LCSW
- Kayla Healey, PA-C
- Megan Marie Healey, RN P.N.P.
- Healing and Discovery, Inc.
- Healing Dynamics Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.