NPIMap

Organization Active NPI

82 Columbus Corp

Doing business as Park West Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1073676821
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20292 Issued in NY
Legal business name
82 COLUMBUS CORP
Doing business as
Park West Pharmacy
Practice address
461 Columbus Ave
New York, NY 10024-5107
Phone
(212) 721-3883
Fax
(212) 721-5660
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Mr. Kenneth Wolk, RPHNPI 1578885422
Title
Pharmacist
Phone
(212) 721-3883

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 20292 NY Primary

Addresses

Primary practice location

461 Columbus Ave
New York, NY 10024-5107

Mailing address

461 Columbus Ave
New York, NY 10024-5107
Phone (212) 721-3883

Other identifiers 1

IdentifierTypeStateIssuer
3395111OtherNCPDP #

Other names 1

  • Park West Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

463 Columbus Ave
New York, NY 10024
Phone (212) 721-3883

461 Columbus Ave
New York, NY 10024
Phone (212) 721-3883

Practitioners & affiliated clinicians

Practitioners 8

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1073676821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245107",
            "telephone_number": "212-721-3883",
            "fax_number": "212-721-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245107",
            "telephone_number": "212-721-3883",
            "fax_number": "212-721-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "82 COLUMBUS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-05-09",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-721-3883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "20292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3395111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 2023; 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.