Active NPI
Allen Shane, RPH
- Pharmacist
- Yonkers, NY
National Provider Identifier
1255331260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025077
- Practice address
- 1757 Central Park Ave
Pathmark Pharmacy
Yonkers, NY 10710-2828 - Phone
- (914) 961-2355
- Fax
- (914) 779-4071
- NPI assigned
- Aug 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 025077 | NY | Primary |
Addresses
Primary practice location
1757 Central Park Ave
Pathmark Pharmacy
Yonkers, NY 10710-2828
Mailing address
6 Arrow LN
New City, NY 10956-7000
Phone (845) 425-3646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025077 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients | |
| Pathmark Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255331260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ARROW LN",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109567000",
"telephone_number": "845-425-3646",
"fax_number": "845-425-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 CENTRAL PARK AVE",
"address_2": "PATHMARK PHARMACY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107102828",
"telephone_number": "914-961-2355",
"fax_number": "914-779-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANE",
"first_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "025077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.