People'S Choice Pharmacy Ny Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PEOPLE'S CHOICE PHARMACY NY CORP

Practice address

423 Jersey St
Staten Island, NY 10301-2226

Phone

(718) 442-7150

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael London

Title

Ceo

Phone

(718) 442-7150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1285201608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 JERSEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012226",
            "telephone_number": "718-442-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 JERSEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012226",
            "telephone_number": "718-442-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S CHOICE PHARMACY NY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-442-7150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penrose Dermatology PLLC
• Carolin T Penrose, M.D.
• Mary Pensabene, RPH
• Rosa Pensabene
• Tetyana Pensabene
• People'S Path Inc.
• People'S Path Inc.
• John M Pepe, M.D.
• Justine Pepe, M.S
• William James Pepe

• Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.