Organization Active NPI

Allen Street Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1205178951
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031800 Issued in NY
Legal business name
ALLEN STREET PHARMACY INC
Practice address
2 Allen St
1A/1B
New York, NY 10002-5302
Phone
(212) 966-8287
Fax
(212) 966-8289
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Min Zhui JiangNPI 1689996993
Title
President
Phone
(212) 966-8287

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031800 NY Primary

Addresses

Primary practice location

2 Allen St
1A/1B
New York, NY 10002-5302

Mailing address

2 Allen St
1C/1D
New York, NY 10002-5302
Phone (212) 966-8287

Other identifiers 2

IdentifierTypeStateIssuer
03581335MedicaidNY
2139688OtherPK

Other names 1

  • Allen Street Pharmacy Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130613000265 NY DME Supplier - Pharmacy 1951540467 Practice locations: New York, NY
O20220407001739 NY Part B Supplier - Pharmacy 1951540467 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Allen Street Pharmacy Inc2 Allen St, New York, NY 10002-5302(212) 966-8287 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2022

National Provider Directory

National Provider Directory

Locations

2 Allen St
Ste 1A1B
New York, NY 10002
Phone (212) 966-8287

2 Allen St
Unit 1C
New York, NY 10002

2 Allen St
Unit 1A
New York, NY 10002
Phone (212) 966-8287

2 Allen St
Ste 1C1D
New York, NY 10002
Phone (212) 966-8287

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1205178951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST",
            "address_2": "1C/1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025302",
            "telephone_number": "212-966-8287",
            "fax_number": "212-966-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST",
            "address_2": "1A/1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025302",
            "telephone_number": "212-966-8287",
            "fax_number": "212-966-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "MIN ZHUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-966-8287"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03581335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Street Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allen Street Pharmacy Inc",
            "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 Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.