Organization Active NPI

Family Pharmacy & Surgical Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1235292954
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
025522 Issued in NY
Legal business name
FAMILY PHARMACY & SURGICAL INC
Practice address
379 W 125TH St
New York, NY 10027-4831
Phone
(212) 222-1300
Fax
(212) 222-1308
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Mr. Rajendrakumar Chaturbhai PatelNPI 1154580488
Title
President
Phone
(212) 222-1300

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
Pharmacy 333600000X 025522 NY Primary

Addresses

Primary practice location

379 W 125TH St
New York, NY 10027-4831

Mailing address

379 W 125TH St
New York, NY 10027-4831
Phone (212) 222-1300

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930069317 NY DME Supplier - Pharmacy 7315151081 Practice locations: New York, NY
O20220509001638 NY Part B Supplier - Pharmacy 7315151081 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
Family Pharmacy & Surgical, Inc379 West 125TH Street, New York, NY 10027-4817(212) 222-1300 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Apr 13, 2022

National Provider Directory

National Provider Directory

Locations

379 W 125th St
New York, NY 10027
Phone (212) 222-1300

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1235292954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274831",
            "telephone_number": "212-222-1300",
            "fax_number": "212-222-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274831",
            "telephone_number": "212-222-1300",
            "fax_number": "212-222-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY & SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJENDRAKUMAR",
        "authorized_official_middle_name": "CHATURBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-222-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025522",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 16, 2021; 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.