Madison Apothecary Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MADISON APOTHECARY INC.

Practice address

1114 Madison Avenue
New York, NY 10028

Phone

(212) 249-1069

Fax

(212) 249-2230

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Leonid Nudelman, PHARMDNPI 1548583750

Title

Owner/Supervising Pharmacist

Phone

(212) 249-1069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonid Nudelman, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1548583750
  NPD Authorized official
• Paul Feingertz, R.PH.

  • Pharmacist
  • New York, NY
  • NPI 1841275708
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1083248694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 MADISON AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-249-1069",
            "fax_number": "212-249-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MADISON AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-249-1069",
            "fax_number": "212-249-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON APOTHECARY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "NUDELMAN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-249-1069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Cooper Madigan, LCSW
• Sully Madinabeitia, MS,CCC-SLP, TSSLD-BE
• Madison Adult Center
• Madison Ambulatory Surgery Center
• Madison Anesthesiologist Billing, Inc
• Madison Audiology Associates
• Madison Ave Consulting
• Madison Ave Smiles Dental PC
• Madison Avenue Dental Care PLLC
• Madison Avenue Dental Studio

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.

Verify at the official NPI Registry.