Organization Active NPI

Zitomer Pharmacy Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1194820886
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019328 Issued in NY
Legal business name
ZITOMER PHARMACY INC.
Practice address
969 Madison Ave
New York, NY 10021-2763
Phone
(212) 737-5560
Fax
(212) 639-9847
NPI assigned
Sep 14, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mr. Michael Edward Pearlman, RPHNPI 1043532708
Title
Pharmacy Director
Phone
(212) 737-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 019328 NY Primary

Addresses

Primary practice location

969 Madison Ave
New York, NY 10021-2763

Mailing address

969 Madison Ave
New York, NY 10021-2763
Phone (212) 737-5560

Other identifiers 2

IdentifierTypeStateIssuer
00270571MedicaidNY
3306140OtherNCPDP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106002015 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9335495001 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

969 Madison Ave
New York, NY 10021
Phone (212) 737-5560

Practitioners & affiliated clinicians

Practitioners 5

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1194820886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212763",
            "telephone_number": "212-737-5560",
            "fax_number": "212-639-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212763",
            "telephone_number": "212-737-5560",
            "fax_number": "212-639-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZITOMER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "PEARLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "212-737-5560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00270571",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3306140",
            "state": null
        }
    ],
    "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 Jan 31, 2017; 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.