Organization Active NPI

Smart Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1205179991
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031978 Issued in NY
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

Updated by the provider on Mar 30, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03569399MedicaidNY
2141060OtherPK

Other names 1

  • Cordette Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.