Columbus & 103Rd St Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

013409 Issued in NY

Legal business name

COLUMBUS & 103RD ST DRUG CORP

Doing business as

Columbus Avenue Pharmacy

Practice address

916 Columbus Ave
New York, NY 10025-4040

Phone

(212) 663-7440

Fax

(212) 663-6074

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Rubbab Sehar

Title

President

Phone

(201) 899-8131

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Columbus Avenue Pharmacy Doing business as

Locations

Practitioners 1

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

• Mario M Hernandez, R.PH.

  • Pharmacist
  • Bronx, NY
  • NPI 1376870204
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1346307311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254040",
            "telephone_number": "212-663-7440",
            "fax_number": "212-663-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254040",
            "telephone_number": "212-663-7440",
            "fax_number": "212-663-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS & 103RD ST DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "SEHAR",
        "authorized_official_first_name": "RUBBAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-899-8131"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "013409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00269012",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3337791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbus Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia University Medical Center - New York Presbyterian Hospital
• Columbia/Newyork-Presbyterian Advanced Imaging Inc.
• Columbiadoctors Ambulatory Care Network
• Columbiadoctors/Newyork-Presbyterianimaging
• Anna Columbro, CRNA
• Columbus Avenue Dental Association
• Columbus Avenue Medical Professionals, PC
• Columbus Circle Acupuncture Wellness PC
• Columbus Circle Freesia Acupuncture PC
• Columbus Circle Medical Services,PLLC

• 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 Oct 25, 2022; 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.