Utica Express Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

UTICA EXPRESS PHARMACY INC

Practice address

190 Utica Ave
Ground FL
Brooklyn, NY 11213-2939

Phone

(718) 484-1704

Fax

(718) 484-1700

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Marc Jeris Louis Jean

Title

President

Phone

(718) 484-1704

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Macaya Pharma Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Eva Marie Rodriguez, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1265733133
  NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1134738115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 UTICA AVE",
            "address_2": "GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132939",
            "telephone_number": "718-484-1704",
            "fax_number": "718-484-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 UTICA AVE",
            "address_2": "GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132939",
            "telephone_number": "718-484-1704",
            "fax_number": "718-484-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "LOUIS JEAN",
        "authorized_official_first_name": "MARC JERIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-484-1704"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOP",
            "identifier": "28RO00251300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macaya Pharma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Anthony Uter
• Shelly Ann Uter, NP
• Adeola R Uthman, M.D.
• Utica Comprehensive Medical Office
• Utica Dental Studio PLLC
• Utica Pharmacy, Inc
• Utica RX Inc
• Paula Harrison Utilla, IBCLC
• Denis Utkin, ACSM CCEP
• Mirla Utkin, LMSW

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.