Organization Active NPI

Mott St Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1346627783
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033538 Issued in NY
Legal business name
MOTT ST PHARMACY
Practice address
11 Mott St
New York, NY 10013-5020
Phone
(212) 732-3888
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Ying Zi Xie
Title
Pharmacist
Phone
(212) 732-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033538 NY Primary

Addresses

Primary practice location

11 Mott St
New York, NY 10013-5020

Mailing address

11 Mott St
New York, NY 10013-5020
Phone (212) 732-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160304000283 NY DME Supplier - Pharmacy 8921304759 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
Mott St Pharmacy11 Mott St, New York, NY 10013-5020(212) 732-3888 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 17, 2015

National Provider Directory

National Provider Directory

Locations

11 Mott St
Frnt 1
New York, NY 10013

11 Mott St
New York, NY 10013
Phone (212) 732-3888

11 Mott St
Frnt A
New York, NY 10013
Phone (212) 732-3888

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1346627783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135020",
            "telephone_number": "212-732-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135020",
            "telephone_number": "212-732-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTT ST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "YING ZI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-732-3888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033538",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 6, 2015; 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.