Organization Active NPI

Elinick Pharmacy Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1285124719
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036475 Issued in NY
Legal business name
ELINICK PHARMACY INC.
Doing business as
Elinick Pharmacy Inc.
Practice address
52 Sherman Ave
New York, NY 10040-1104
Phone
(212) 567-5130
Fax
(212) 567-5091
NPI assigned
May 10, 2018
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Maria CarrasquillaNPI 1649420696
Title
RPH
Phone
(212) 567-5130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 036475 NY Primary

Addresses

Primary practice location

52 Sherman Ave
New York, NY 10040-1104

Mailing address

52 Sherman Ave
New York, NY 10040-1104
Phone (212) 567-5130

Other identifiers 1

IdentifierTypeStateIssuer
2177403OtherPK

Other names 1

  • ELINICK PHARMACY INC. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180906000449 NY DME Supplier - Pharmacy 0749530160 Practice locations: New York, NY
O20230320001369 NY Part B Supplier - Pharmacy 0749530160 Practice locations: New York, NY

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
Elinick Pharmacy Inc.52 Sherman Ave, New York, NY 10040-1104(212) 567-5130 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 2, 2023

National Provider Directory

National Provider Directory

Locations

52 Sherman Ave
New York, NY 10040
Phone (212) 567-5130

Practitioners & affiliated clinicians

Practitioners 1

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": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1285124719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SHERMAN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401104",
            "telephone_number": "212-567-5130",
            "fax_number": "212-567-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SHERMAN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401104",
            "telephone_number": "212-567-5130",
            "fax_number": "212-567-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELINICK PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "212-567-5130"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELINICK PHARMACY INC.",
            "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 May 10, 2018; 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.