Active NPI
Drug Mart II LLC
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1366860181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032678
- 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, 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
- Ashok L Barvalia
- Title
- Member
- Phone
- (212) 569-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32678 | Other | NY | OFFICE OF PROFESSIONS |
| 03912663 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Drug Mart II RX LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI 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.