Organization Active NPI

Metropharm Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1316989940
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021451 Issued in NY
Legal business name
METROPHARM INC
Doing business as
Metro Pharm Inc
Practice address
123 Walker St
New York, NY 10013-4108
Phone
(212) 219-8668
Fax
(212) 219-8679
NPI assigned
Jun 11, 2006
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Yiu Ming Wong
Title
President and Chief Pharmacist
Phone
(212) 219-8668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 021451 NY Primary

Addresses

Primary practice location

123 Walker St
New York, NY 10013-4108

Mailing address

123 Walker St
New York, NY 10013-4108
Phone (212) 219-8668

Other identifiers 2

IdentifierTypeStateIssuer
01369740MedicaidNY
2064389OtherPK

Other names 1

  • METRO PHARM INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073237 NY DME Supplier - Pharmacy 5799804134 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Metropharm Inc123 Walker St, New York, NY 10013-4108(212) 219-8668 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf|Enteral Nutrients|Enteral Equipment and/or Su… Does not accept assignmentParticipating since Apr 15, 2004

National Provider Directory

National Provider Directory

Locations

123 Walker St
New York, NY 10013
Phone (212) 219-8668

92 Baxter St
New York, NY 10013
Phone (212) 219-8668

Practitioners & affiliated clinicians

Practitioners 8

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1316989940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WALKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134108",
            "telephone_number": "212-219-8668",
            "fax_number": "212-219-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WALKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134108",
            "telephone_number": "212-219-8668",
            "fax_number": "212-219-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "YIU MING",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF PHARMACIST",
        "authorized_official_telephone_number": "212-219-8668"
    },
    "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": "021451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369740",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METRO PHARM INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METRO PHARM INC",
            "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 Mar 29, 2022; 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.