Three S Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

19276 Issued in NY

Legal business name

THREE S PHARMACY INC

Practice address

619 9TH Ave
New York, NY 10036-3710

Phone

(212) 581-0602

Fax

(212) 582-3243

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steven Mitchell Kaufman, PHARMACIST

Title

Supervising Pharmacist

Phone

(212) 581-0602

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104965631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363710",
            "telephone_number": "212-581-0602",
            "fax_number": "212-582-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363710",
            "telephone_number": "212-581-0602",
            "fax_number": "212-582-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-581-0602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "19276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01024639",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3388685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.