Organization Active NPI

Pharmaco Inc

Doing business as bac ai pharmacy

  • Pharmacist
  • New York, NY
National Provider Identifier
1184707499
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
021547 Issued in NY
Legal business name
PHARMACO INC
Doing business as
bac ai pharmacy
Practice address
216 Canal St
New York, NY 10013-4122
Phone
(212) 513-1344
NPI assigned
Oct 23, 2006
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Mr. Dung Minh Chao
Title
Supervising Pharmacist
Phone
(212) 513-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 021547 NY Primary

Addresses

Primary practice location

216 Canal St
New York, NY 10013-4122

Mailing address

216 Canal St
New York, NY 10013-4122
Phone (212) 513-1344

Other identifiers 1

IdentifierTypeStateIssuer
02239054MedicaidNY

Other names 1

  • bac ai pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220916000259 NY Part B Supplier - Pharmacy 3274890348 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

216 Canal St
New York, NY 10013
Phone (212) 513-1344

Practitioners & affiliated clinicians

Practitioners 3

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1184707499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134122",
            "telephone_number": "212-513-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134122",
            "telephone_number": "212-513-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-513-1344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "021547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bac ai pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "bac ai 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 Sep 16, 2022; 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.