Active NPI
Strides Pharmacy LLC
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1245978063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- STRIDES PHARMACY LLC
- Practice address
- 1791 Amsterdam Ave
New York, NY 10031-3501 - Phone
- (845) 323-3240
- NPI assigned
- May 23, 2022
- 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
- Mr. Thomas James, PHARMD
- Title
- Supervising Pharmacist
- Phone
- (845) 323-3240
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1791 Amsterdam Ave
New York, NY 10031-3501
Mailing address
1791 Amsterdam Ave
New York, NY 10031-3501
Phone (845) 323-3240
Other names 1
- Strides Pharmacy LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221109001730 | NY | Part B Supplier - Pharmacy | 5395112064 | Practice locations: New York, NY |
National Provider Directory
National Provider DirectoryLocations
1791 Amsterdam Ave
New York, NY 10031
Phone (845) 323-3240
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1053702571
-
- Pharmacist
- New York, NY
- NPI 1376969006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676592000000",
"number": "1245978063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100313501",
"telephone_number": "845-323-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100313501",
"telephone_number": "845-323-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIDES PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "845-323-3240",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Strides Pharmacy LLC",
"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 Feb 17, 2023; 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.