Madison Chemist Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020466 Issued in NY

Legal business name

MADISON CHEMIST INC

Doing business as

Drug Loft Pharmacy

Practice address

1408 Madison Ave
New York, NY 10029-6947

Phone

(212) 996-9499

Fax

(212) 876-7782

NPI assigned

Jan 23, 2007

Last updated

Jan 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilfredo AldebotNPI 1922390178

Title

President

Phone

(212) 996-9499

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DRUG LOFT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Wilfredo A Aldebot, RPH

  • Pharmacist
  • New York, NY
  • NPI 1922390178
  NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1336293786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296947",
            "telephone_number": "212-996-9499",
            "fax_number": "212-876-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296947",
            "telephone_number": "212-996-9499",
            "fax_number": "212-876-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CHEMIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "ALDEBOT",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-996-9499"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495936",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG LOFT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRUG LOFT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Madison Care
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• Madison Dental PC

• 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 Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.