Active NPI
Smart Pharmacy Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1205179991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031978
- Legal business name
- SMART PHARMACY INC
- Practice address
- 55 W 39TH St
New York, NY 10018-3803 - Phone
- (212) 398-9999
- Fax
- (212) 719-5371
- NPI assigned
- Apr 1, 2013
- 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
- Priscilla Robles
- Title
- President
- Phone
- (212) 398-9999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 031978 | NY | Primary |
Addresses
Primary practice location
55 W 39TH St
New York, NY 10018-3803
Mailing address
55 W 39TH St
New York, NY 10018-3803
Phone (212) 398-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03569399 | Medicaid | NY | |
| 2141060 | Other | PK |
Other names 1
- Cordette Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459296000000",
"number": "1205179991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W 39TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183803",
"telephone_number": "212-398-9999",
"fax_number": "212-719-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W 39TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183803",
"telephone_number": "212-398-9999",
"fax_number": "212-719-5371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-01",
"last_updated": "2016-03-30",
"status": "A",
"authorized_official_last_name": "ROBLES",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-398-9999"
},
"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": "031978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03569399",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141060",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cordette 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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.