Organization Active NPI

Ryan/Chelsea-Clinton Community Health Center Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1114800257
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER INC.
Practice address
645 10TH Ave
New York, NY 10036-2904
Phone
(212) 531-7533
Fax
(212) 280-4793
NPI assigned
Jul 28, 2025
Organization subpart
Yes
Parent organization
RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jose J Virella
Title
Chief Financial Officer
Phone
(212) 769-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

645 10TH Ave
New York, NY 10036-2904

Mailing address

110 W 97TH St
New York, NY 10025-6450
Phone (212) 531-7533

Other names 1

  • Ryan Chelsea-Clinton Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ryan-Chelsea Clinton Community Health Center2 organizations share this tax ID, including this one
Part of
Ryan-Chelsea Clinton Community Health Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1114800257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 97TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256450",
            "telephone_number": "212-531-7533",
            "fax_number": "212-280-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362904",
            "telephone_number": "212-531-7533",
            "fax_number": "212-280-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "VIRELLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "212-769-7245"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Chelsea-Clinton 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 Jul 28, 2025; 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.