Active NPI
Bowery Pharmacy Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1154459857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 018560
- Legal business name
- BOWERY PHARMACY INC
- Practice address
- 95 Bowery
New York, NY 10002-4901 - Phone
- (212) 219-0449
- Fax
- (212) 219-0580
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick C Wu, R.PH.
- Title
- Supervising Pharmacist
- Phone
- (212) 219-0449
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 018560 | NY | Primary |
Addresses
Primary practice location
95 Bowery
New York, NY 10002-4901
Mailing address
95 Bowery
New York, NY 10002-4901
Phone (212) 219-0449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00886686 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
95 Bowery
New York, NY 10002
Phone (212) 219-0449
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- New York, NY
- NPI 1184155780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1154459857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 BOWERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024901",
"telephone_number": "212-219-0449",
"fax_number": "212-219-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 BOWERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024901",
"telephone_number": "212-219-0449",
"fax_number": "212-219-0580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWERY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "212-219-0449",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "018560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00886686",
"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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.