Tisane Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030789 Issued in NY

Legal business name

TISANE PHARMACY LLC

Practice address

340 E 86TH St
New York, NY 10028-4661

Phone

(212) 517-0037

Fax

(212) 517-0039

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Inna Shafir

Title

Owner

Phone

(212) 517-0037

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tisane Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Max Gurvits, PHARM.D.

  • Pharmacist
  • New York, NY
  • NPI 1710267281
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1245510684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284661",
            "telephone_number": "212-517-0037",
            "fax_number": "212-517-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284661",
            "telephone_number": "212-517-0037",
            "fax_number": "212-517-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISANE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "SHAFIR",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-517-0037"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tisane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Rose Tirrell, MD
• Deborah Jillian Tirsun, DDS
• Seth Richard Tirsun, DDS
• Claudette Ocampo Tiru, MD
• Siddharth Tirumala, MD
• Craig Brian Tisch, OD
• Bryan Ross Tischenkel, M.D.
• Suheily Tise
• Hannah Brooke Tishman, LMSW
• Julia G Tishman, RD

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.