Organization Active NPI

Nyack Pharmacy Inc

  • Community/Retail Pharmacy
  • Nyack, NY
National Provider Identifier
1316008600
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016680 Issued in NY
Legal business name
NYACK PHARMACY INC
Practice address
114 Main St
Nyack, NY 10960-3112
Phone
(845) 358-0205
Fax
(845) 358-5240
NPI assigned
Dec 12, 2006
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Michael Frankel
Title
Owner
Phone
(845) 358-0205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 016680 NY Primary

Addresses

Primary practice location

114 Main St
Nyack, NY 10960-3112

Mailing address

114 Main St
Nyack, NY 10960-3112
Phone (845) 358-0205

Other identifiers 1

IdentifierTypeStateIssuer
00528143MedicaidNY

Other names 1

  • MCMANUS PHARMACY Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1316008600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603112",
            "telephone_number": "845-358-0205",
            "fax_number": "845-358-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603112",
            "telephone_number": "845-358-0205",
            "fax_number": "845-358-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYACK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "FRANKEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-358-0205"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "016680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00528143",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCMANUS PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MCMANUS PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.