Organization Active NPI

Bowery Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1154459857
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018560 Issued in NY
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

Updated by the provider on Apr 24, 2008

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.NPI 1184155780
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00886686MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.