Nyc and Ezy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

200719 Issued in MN

Legal business name

NYC AND EZY CORP

Practice address

1500 Howard Ave
Maple Plain, MN 55359-9634

Phone

(763) 479-1903

Fax

(763) 479-6516

NPI assigned

Aug 20, 2006

Organization subpart

No

Name

Joseph Reycraft, RPH

Title

President

Phone

(763) 479-1903

Locations

• MAPLE PLAIN DRUG Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2011.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1255446282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HOWARD AVE",
            "city": "MAPLE PLAIN",
            "state": "MN",
            "postal_code": "553599634",
            "telephone_number": "763-479-1903",
            "fax_number": "763-479-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HOWARD AVE",
            "city": "MAPLE PLAIN",
            "state": "MN",
            "postal_code": "553599634",
            "telephone_number": "763-479-1903",
            "fax_number": "763-479-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC AND EZY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "REYCRAFT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-479-1903",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "200719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2406127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800760800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE PLAIN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Maple Plain, MN
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.