Priya Philip, PHARMD

Individual provider Active NPI Pharmacist · New York, NY

NPI 1265069728 · NPPES record last updated Sep 13, 2021

Key facts

NPI
1265069728
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
060197 (NY)
Practice address
160 Lenox Ave
New York, NY 10026-1319
Phone
(212) 722-1550
Fax
(212) 722-4461
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
060197NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past
since Mar 1, 2020
Accepting new patients
Malcolm Pharmacy Inc Past
since Sep 12, 2021
Accepting new patients
CVS Albany, L.L.C. Past
since Mar 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060197 NY Yes

Addresses

Primary practice location

160 Lenox Ave
New York, NY 10026-1319

Mailing address

633 Merrick Rd
Lynbrook, NY 11563-2313

Other providers in New York, NY

All providers in New York, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.