Larchmont Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Larchmont, NY

NPI 1124480967 · NPPES record last updated Dec 1, 2025

Key facts

NPI
1124480967
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
034528 (NY)
Legal business name
LARCHMONT PHARMACY LLC
Practice address
2141 Palmer Ave
Larchmont, NY 10538-2406
Phone
(914) 341-1900
Fax
(914) 341-1901
NPI assigned
Mar 22, 2016
Organization subpart
No

Authorized official

Name
Mr. Anthony John Ciarletta, R.PH.
Title
Member
Phone
(914) 341-1900

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 3

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2232842Larchmont Pharmacy LLC
2141 Palmer Ave, Larchmont, NY 10538
Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Larchmont Pharmacy LLC
2141 Palmer Ave, Larchmont, NY 10538-2406 · (914) 341-1900
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignment
Participating since Jul 11, 2016

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160930000437 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7517254808 Practice locations: Larchmont, NY
O20161219002794 NY DME Supplier - Pharmacy 7517254808 Practice locations: Larchmont, NY
O20220628000766 NY Part B Supplier - Pharmacy 7517254808 Practice locations: Larchmont, NY
O20220808000279 NY Part B Supplier - Independent Clinical Laboratory 7517254808 Practice locations: Larchmont, NY

National Provider Directory

Locations

2141 Palmer Ave
Larchmont, NY 10538
Phone (914) 341-1900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 034528 NY Yes

Addresses

Primary practice location

2141 Palmer Ave
Larchmont, NY 10538-2406

Mailing address

2141 Palmer Ave
Larchmont, NY 10538-2406
Phone (914) 341-1900

Other identifiers

IdentifierTypeStateIssuer
034528OtherNYNEW YORK STATE BOARD LICENSE NUMBER

Other names

  • LARCHMONT PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2025.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1124480967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382406",
            "telephone_number": "914-341-1900",
            "fax_number": "914-341-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382406",
            "telephone_number": "914-341-1900",
            "fax_number": "914-341-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "CIARLETTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-341-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD LICENSE NUMBER",
            "identifier": "034528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARCHMONT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Larchmont, NY

All providers in Larchmont, NY · Community/Retail Pharmacy in New York

Sources for this page

Verify at the official NPI Registry.