Active NPI
Pranay Pharmacy LLC
- Community/Retail Pharmacy
- Rome, NY
National Provider Identifier
1346650769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 033122
- Legal business name
- PRANAY PHARMACY LLC
- Doing business as
- The Medicine Shoppe Pharmacy
- Practice address
- 823 Black River Blvd N
Rome, NY 13440-3549 - Phone
- (315) 339-0400
- Fax
- (315) 339-0600
- NPI assigned
- May 7, 2014
- 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
- Abhishek Patel
- Title
- Member
- Phone
- (732) 647-5729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 033122 | NY | Primary |
Addresses
Primary practice location
823 Black River Blvd N
Rome, NY 13440-3549
Mailing address
823 Black River Blvd N
Rome, NY 13440-3549
Phone (315) 339-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148271 | Other | PK |
Other names 1
- The Medicine Shoppe Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579651200000",
"number": "1346650769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 BLACK RIVER BLVD N",
"city": "ROME",
"state": "NY",
"postal_code": "134403549",
"telephone_number": "315-339-0400",
"fax_number": "315-339-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 BLACK RIVER BLVD N",
"city": "ROME",
"state": "NY",
"postal_code": "134403549",
"telephone_number": "315-339-0400",
"fax_number": "315-339-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRANAY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "ABHISHEK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-647-5729"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "033122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2148271",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.