Active NPI
East Star Pharmacy Inc.
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1245656347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032486
- Legal business name
- EAST STAR PHARMACY INC.
- Practice address
- 2403 2ND Ave
New York, NY 10035-2102 - Phone
- (212) 289-2000
- Fax
- (212) 289-5992
- NPI assigned
- Mar 13, 2014
- 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
- Pavan Alchani
- Title
- Pharmacy Manager
- Phone
- (212) 289-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 032486 | NY | Primary |
Addresses
Primary practice location
2403 2ND Ave
New York, NY 10035-2102
Mailing address
2403 2ND Ave
New York, NY 10035-2102
Phone (212) 289-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03861052 | Medicaid | NY |
Other names 1
- TAINO PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140626002241 | NY | DME Supplier - Pharmacy | 8224253620 | Practice locations: New York, NY |
| O20210119000912 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224253620 | Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| East Star Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Nebulizer Equipment a… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2371 2nd Ave
New York, NY 10035
Phone (212) 987-3600
2403 2nd Ave
New York, NY 10035
Phone (212) 289-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1306136619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1245656347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352102",
"telephone_number": "212-289-2000",
"fax_number": "212-289-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352102",
"telephone_number": "212-289-2000",
"fax_number": "212-289-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST STAR PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-13",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "ALCHANI",
"authorized_official_first_name": "PAVAN",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "212-289-2000"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "032486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03861052",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TAINO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.