Organization Active NPI

Julie Pharmacy Corporation

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1124417126
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JULIE PHARMACY CORPORATION
Practice address
3621 Broadway # Store1
New York, NY 10031-2518
Phone
(212) 926-9800
Fax
(212) 926-2228
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Ricella Bucci
Title
President
Phone
(212) 926-9800

Specialties & licenses 1

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

Addresses

Primary practice location

3621 Broadway # Store1
New York, NY 10031-2518

Mailing address

3621 Broadway # Store1
New York, NY 10031-2518
Phone (212) 926-9800

Other practice location 1

4121 Broadway
Store 1
New York, NY 10033-3734
Phone (646) 791-5237

Other identifiers 1

IdentifierTypeStateIssuer
033746OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170119002257 NY DME Supplier - Pharmacy 0446532857 Practice locations: New York, NY
O20210302001701 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0446532857 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Julie Pharmacy Corporation3621 Broadway, New York, NY 10031-2518(212) 926-9800 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 31, 2016

National Provider Directory

National Provider Directory

Locations

3621 Broadway
#1
New York, NY 10031
Phone (212) 926-9800

4121 Broadway
#1
New York, NY 10033
Phone (646) 791-5237

3621 Broadway
New York, NY 10031
Phone (212) 926-9800

Practitioners & affiliated clinicians

Practitioners 2

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": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1124417126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 BROADWAY # STORE1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312518",
            "telephone_number": "212-926-9800",
            "fax_number": "212-926-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 BROADWAY # STORE1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312518",
            "telephone_number": "212-926-9800",
            "fax_number": "212-926-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 Broadway",
            "address_2": "Store 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100333734",
            "country_code": "US",
            "telephone_number": "646-791-5237",
            "fax_number": "646-476-4539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "RICELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-926-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "033746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.