NPIMap

Organization Active NPI

St Lukes Roosevelt Hospital Center

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1235440561
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030198 Issued in NY
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Practice address
275 7TH Ave FL 12
New York, NY 10001-6995
Phone
(212) 604-1780
Fax
(212) 604-1763
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Maisoun Sioufi
Title
Director of Pharmacy
Phone
(212) 636-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030198 NY Primary

Addresses

Primary practice location

275 7TH Ave FL 12
New York, NY 10001-6995

Mailing address

PO Box 95000-7570
Philadelphia, PA 19195-7570
Phone (212) 604-1780

Other identifiers 2

IdentifierTypeStateIssuer
03247087MedicaidNY
2127630OtherPK

Other names 1

  • West Village Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110613000416 NY DME Supplier - Pharmacy 1355250788 Practice locations: New York, NY
O20180223001870 NY Part B Supplier - Pharmacy 1355250788 3 other NPIs on this enrollment
Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
West Village Pharmacy275 7TH Ave, New York, NY 10001-6995(212) 604-1780 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
West Side Med Emerg Ser26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

1000 10th Ave
Ste 2T
New York, NY 10019
Phone (212) 636-3600

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1235440561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-7570",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957570",
            "telephone_number": "212-604-1780",
            "fax_number": "212-604-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 7TH AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016995",
            "telephone_number": "212-604-1780",
            "fax_number": "212-604-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SIOUFI",
        "authorized_official_first_name": "MAISOUN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "212-636-3600"
    },
    "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": "030198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03247087",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Village 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 Sep 19, 2025; 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.