Organization Active NPI

H&R Nyc Pharmaceutical LLC

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1174088348
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
H&R NYC PHARMACEUTICAL LLC
Practice address
1265 Clove Rd # Storee
Staten Island, NY 10301-4339
Phone
(347) 922-3924
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Haider Abbas
Title
Owner
Phone
(347) 922-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1265 Clove Rd # Storee
Staten Island, NY 10301-4339

Mailing address

1265 Clove Rd # Storee
Staten Island, NY 10301-4339
Phone (347) 922-3924

Other names 1

  • Clove Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201102001483 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0941636864 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1174088348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 CLOVE RD # STOREE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014339",
            "telephone_number": "347-922-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CLOVE RD # STOREE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014339",
            "telephone_number": "347-922-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&R NYC PHARMACEUTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-922-3924"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.