420 2ND Ave Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022924 Issued in NY

Legal business name

420 2ND AVE DRUG CORP

Practice address

331 E 23Rd St
New York, NY 10010-4763

Phone

(212) 683-0148

Fax

(212) 779-0151

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Yashvantkumar Manubhai Desai

Title

Owner

Phone

(212) 683-0148

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Halpern Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Practitioners 4

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

• Renuka Y Desai, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1104422583
  NPD
• Christine Milgrim, PHARMD, RPH

  • Pharmacist
  • New York, NY
  • NPI 1538331681
  NPD (past)
• Elizabeth Sanders, PHARM.D.

  • Pharmacist
  • New York, NY
  • NPI 1851660922
  NPD (past)
• Joseph Steven Sidney, PHARMACIST

  • Pharmacist
  • Middletown, MD
  • NPI 1740443266
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1316016264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104763",
            "telephone_number": "212-683-0148",
            "fax_number": "212-779-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104763",
            "telephone_number": "212-683-0148",
            "fax_number": "212-779-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "420 2ND AVE DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "YASHVANTKUMAR",
        "authorized_official_middle_name": "MANUBHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-683-0148"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062779",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halpern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halpern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 7, 2023; 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.