Organization Active NPI

Palace Pharmacy Inc

Doing business as Palace Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1285679480
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PALACE PHARMACY INC
Doing business as
Palace Pharmacy
Practice address
543 Malcolm X Blvd
New York, NY 10037-1806
Phone
(212) 283-2136
Fax
(212) 283-2463
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ahmed Mamdoug Sabra, RPH
Title
President and Supv Phcist
Phone
(917) 459-2518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027539 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

543 Malcolm X Blvd
New York, NY 10037-1806

Mailing address

543 Malcolm X Blvd
New York, NY 10037-1806

Other identifiers 1

IdentifierTypeStateIssuer
3350814OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • PALACE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285679480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371806",
            "telephone_number": "212-283-2136",
            "fax_number": "212-283-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAMDOUG SABRA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT AND SUPV PHCIST",
        "authorized_official_telephone_number": "917-459-2518",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027539",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3350814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALACE 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 Sep 11, 2025; 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.