Active NPI
Pharmaco Inc
Doing business as bac ai pharmacy
- Pharmacist
- New York, NY
National Provider Identifier
1184707499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021547
- 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, 2022
- 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. Dung Minh Chao
- Title
- Supervising Pharmacist
- Phone
- (212) 513-1344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02239054 | Medicaid | NY |
Other names 1
- bac ai pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220916000259 | NY | Part B Supplier - Pharmacy | 3274890348 | Practice locations: New York, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- New York, NY
- NPI 1750605564
-
- Pharmacist
- New York, NY
- NPI 1447574975
-
- Pharmacist
- New York, NY
- NPI 1528504339
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
- Jay Phansalkar, MD
- Vienna C Pharaon, LMFT
- Pharma Care Inc (Seventh Avenue Pharmacy)
- Pharmacare Services Inc (Pharmacare Pharmacy)
- Pharmacity Pharmacy LLC
- Pharmacy 5TH Ave Inc (Fifth Avenue Pharmacy)
- Pharmacy on the Park Corporation
- Pharmacy Specialist Group II Inc (Faith Pharmacy)
- Pharmacy4Humanity (AHF Pharmacy)
- Pharmacy4Humanity (AHF Pharmacy)
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.