Harlem Star Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029425 Issued in NY

Legal business name

HARLEM STAR PHARMACY INC.

Practice address

67 W 137TH St
New York, NY 10037-1953

Phone

(212) 926-7500

Fax

(212) 926-5900

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Satya Dasari

Title

President

Phone

(212) 926-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HARLEM COMMUNITY PHARMACY Doing business as

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

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1306080635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W 137TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371953",
            "telephone_number": "212-926-7500",
            "fax_number": "212-926-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W 137TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371953",
            "telephone_number": "212-926-7500",
            "fax_number": "212-926-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM STAR PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-926-7500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03109217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARLEM COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harlem Physician Group
• Harlem Rheumatology LLC
• Harlem RX Inc.
• Harlem RX Pharmacy Inc
• Harlem Specialty Drug Corp
• Harlem Super Pharmacy Inc
• Harlem United Com AIDS Ctr Ai
• Harlem Vision Group Inc.
• Harlem Vision Inc.
• Harlem Vistasite Eye Care Inc

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Nov 29, 2010; 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.