McLean Ave Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034092 Issued in NY

Legal business name

MCLEAN AVE PHARMACY CORP

Practice address

211 McLean Ave
Yonkers, NY 10705-4419

Phone

(914) 327-4888

Fax

(914) 327-4884

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Muhammad Shahid

Title

President

Phone

(914) 327-4888

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MCLEAN AVE PHARMACY CORP Doing business as

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1275908816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054419",
            "telephone_number": "914-327-4888",
            "fax_number": "914-327-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054419",
            "telephone_number": "914-327-4888",
            "fax_number": "914-327-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN AVE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-327-4888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8548A79Z",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLEAN AVE PHARMACY CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryann McKee
• Blondel McKenzie, LPN
• Monique Marie McKnight-Meacham, DOULA
• Sherlan McKnight
• Shekeithra S McLamb, LMHC,MPA, CASAC-T
• McLean Heights Medical Professionals PC
• McLean Pharmacy 211 Inc
• Gail Virginia McLean
• Melaine Angelique McLean, MD
• Muslimah A McLendon

• Community/Retail Pharmacy in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.