NPIMap

Organization Active NPI

East Harlem Council for Human Services Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1124530084
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035955 Issued in NY
Legal business name
EAST HARLEM COUNCIL FOR HUMAN SERVICES INC
Practice address
2265 3Rd Ave FL 1
New York, NY 10035-2231
Phone
(844) 370-6206
Fax
(646) 779-5681
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Joel Wright
Title
President Pharmacy Services
Phone
(806) 242-7782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035955 NY Primary

Addresses

Primary practice location

2265 3Rd Ave FL 1
New York, NY 10035-2231

Mailing address

320 S Polk St Ste 200
Amarillo, TX 79101-1436
Phone (806) 242-7782

Other identifiers 2

IdentifierTypeStateIssuer
05055945MedicaidNY
2173005OtherPK

Other names 1

  • Boriken Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180427002372 NY DME Supplier - Pharmacy 8628194842 Practice locations: New York, NY
O20221122002540 NY Part B Supplier - Pharmacy 8628194842 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
East Harlem Council for Human Servi2265 3Rd Ave, New York, NY 10035-2231(844) 370-6206 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 12, 2018

National Provider Directory

National Provider Directory
Tax ID family
East Harlem Coun Human SE2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2265 3rd Ave
Fl 1
New York, NY 10035
Phone (212) 650-4991

Practitioners & affiliated clinicians

Practitioners 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1124530084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S POLK ST STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791011436",
            "telephone_number": "806-242-7782",
            "fax_number": "646-779-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 3RD AVE FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352231",
            "telephone_number": "844-370-6206",
            "fax_number": "646-779-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HARLEM COUNCIL FOR HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT PHARMACY SERVICES",
        "authorized_official_telephone_number": "806-242-7782"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05055945",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boriken 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 Dec 14, 2023; 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.