161 St Pharmacy Inc.
Organization Active NPI Clinic Pharmacy · Bronx, NY
NPI 1265461982 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1265461982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- 027268 (NY)
- Legal business name
- 161 ST PHARMACY INC.
- Practice address
- 275 E 161St St
Bronx, NY 10451-3504 - Phone
- (718) 742-3400
- Fax
- (718) 742-3416
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Hardy Chung, RPH
- Title
- Vice President
- Phone
- (718) 742-3400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 027268 | NY | Yes |
Addresses
Primary practice location
275 E 161St St
Bronx, NY 10451-3504
Mailing address
275 E 161St St
Bronx, NY 10451-3504
Phone (718) 742-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02700512 | Medicaid | NY | |
| 3347235 | Other | NY | NCPDP |
| 027268 | Other | NY | PHARMACY LICENCE |
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.