Organization Active NPI

Nucare Pharmacy West LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1366771099
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029957 Issued in NY
Legal business name
NUCARE PHARMACY WEST LLC
Doing business as
NuCare Pharmacy & Surgical
Practice address
246 9TH Ave
New York, NY 10001-6602
Phone
(212) 462-2525
Fax
(212) 462-0040
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Yevgeny Sinyov
Title
Member
Phone
(212) 462-2525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029957 NY Primary

Addresses

Primary practice location

246 9TH Ave
New York, NY 10001-6602

Mailing address

250 9TH Ave
New York, NY 10001-6602
Phone (212) 462-2525

Other identifiers 2

IdentifierTypeStateIssuer
3225409MedicaidNY
2124683OtherPK

Other names 1

  • NuCare Pharmacy & Surgical Doing business as

National Provider Directory

National Provider Directory

Locations

246 9th Ave
New York, NY 10001
Phone (212) 462-2525

250 9th Ave
New York, NY 10001
Phone (212) 462-2525

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1366771099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016602",
            "telephone_number": "212-462-2525",
            "fax_number": "212-462-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016602",
            "telephone_number": "212-462-2525",
            "fax_number": "212-462-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARE PHARMACY WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "SINYOV",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-462-2525"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225409",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124683",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuCare Pharmacy & Surgical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NuCare Pharmacy & Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 26, 2019; 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.