Organization Active NPI

Pranay Pharmacy LLC

  • Community/Retail Pharmacy
  • Rome, NY
National Provider Identifier
1346650769
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033122 Issued in NY
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

Updated by the provider on Jan 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2148271OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.