Organization Active NPI

Lada Pharmacy Inc.

Doing business as Preferred Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1265781041
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031380 Issued in NY
Legal business name
LADA PHARMACY INC.
Doing business as
Preferred Pharmacy
Practice address
3 E 115TH St
New York, NY 10029-1088
Phone
(212) 722-0000
Fax
(212) 722-9034
NPI assigned
Sep 7, 2012
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronak Raval
Title
President
Phone
(212) 722-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031380 NY Primary

Addresses

Primary practice location

3 E 115TH St
New York, NY 10029-1088

Mailing address

3 E 115TH St
New York, NY 10029-1088
Phone (212) 722-0000

Other names 1

  • Preferred Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930023547 NY DME Supplier - Pharmacy 3173732005 1 other NPI on this enrollment
Practice locations: New York, NY
O20240423000302 NY Part B Supplier - Pharmacy 3173732005 Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lada Pharmacy Inc3 E 115TH St, New York, NY 10029-1088(212) 722-0000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 28, 2024

National Provider Directory

National Provider Directory

Locations

1864 86th St
Brooklyn, NY 11214
Phone (718) 234-7272

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1265781041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291088",
            "telephone_number": "212-722-0000",
            "fax_number": "212-722-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291088",
            "telephone_number": "212-722-0000",
            "fax_number": "212-722-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "RONAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-722-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Pharmacy",
            "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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.