Active NPI
Clayton & Edward Chemists, Inc.
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1336207703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 027677
- Legal business name
- CLAYTON & EDWARD CHEMISTS, INC.
- Practice address
- 1004 Lexington Ave
New York, NY 10021-4203 - Phone
- (212) 737-1147
- Fax
- (212) 737-8580
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Izzo
- Title
- President
- Phone
- (212) 737-1147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 027677 | NY | Primary |
Addresses
Primary practice location
1004 Lexington Ave
New York, NY 10021-4203
Mailing address
1004 Lexington Ave
New York, NY 10021-4203
Phone (212) 737-1147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02748772 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1004 Lexington Ave
New York, NY 10021
Phone (212) 737-1147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336207703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214203",
"telephone_number": "212-737-1147",
"fax_number": "212-737-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214203",
"telephone_number": "212-737-1147",
"fax_number": "212-737-8580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTON & EDWARD CHEMISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IZZO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-737-1147",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "027677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02748772",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.