Coram Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023236 Issued in NY

Legal business name

CORAM DRUGS INC.

Practice address

1850 Route 112 Ste P
Coram, NY 11727-2232

Phone

(631) 698-7788

Fax

(631) 698-0103

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nayyar Imam, R.PH.NPI 1861650723

Title

President

Phone

(631) 698-7788

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• yore-x drugs and surgicals Doing business as

Locations

Practitioners 1

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

• Nayyar U Imam, PHARMACIST

  • Pharmacist
  • Coram, NY
  • NPI 1861650723
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1194860296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ROUTE 112 STE P",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272232",
            "telephone_number": "631-698-7788",
            "fax_number": "631-698-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROUTE 112 STE P",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272232",
            "telephone_number": "631-698-7788",
            "fax_number": "631-698-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "NAYYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-698-7788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "023236",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NY",
            "license": "023236",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": "023236",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "023236",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023236",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023236",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "023236",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "023236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742121",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yore-x drugs and surgicals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry V Cohen, D.C.
• Janine Lynn Colasuonno, LMHC
• Vincent Coltellino, OD
• Christina Cona
• Marilyn F Conner, CANP
• Coram Fire District
• Coram Hills Eyecare Optometry & Opthalmic Dispensing PLLC
• Coram Podiatry PLLC
• Coram RX LTD
• Alicia Cordner, MA, CCC-SLP

• Community/Retail Pharmacy in Coram, NY
• Providers in Coram, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.