Organization Active NPI

Drug Mart II LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1366860181
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032678 Issued in NY
Legal business name
DRUG MART II LLC
Practice address
4873 Broadway
New York, NY 10034-3134
Phone
(212) 569-4400
Fax
(212) 569-5400
NPI assigned
Mar 29, 2014
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Ashok L Barvalia
Title
Member
Phone
(212) 569-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032678 NY Primary

Addresses

Primary practice location

4873 Broadway
New York, NY 10034-3134

Mailing address

4873 Broadway
New York, NY 10034-3134
Phone (212) 569-4400

Other identifiers 2

IdentifierTypeStateIssuer
32678OtherNYOFFICE OF PROFESSIONS
03912663MedicaidNY

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
Drug Mart II RX LLC4873 Broadway, New York, NY 10034-3134(212) 569-4400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 13, 2025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1366860181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343134",
            "telephone_number": "212-569-4400",
            "fax_number": "212-569-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343134",
            "telephone_number": "212-569-4400",
            "fax_number": "212-569-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG MART II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "BARVALIA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-569-4400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF PROFESSIONS",
            "identifier": "32678",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03912663",
            "state": "NY"
        }
    ],
    "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 Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.