Active NPI
Thriftway Union Turnpike Pharmacy LLC
- Community/Retail Pharmacy
- Fresh Meadows, NY
National Provider Identifier
1376648097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 026175
- Legal business name
- THRIFTWAY UNION TURNPIKE PHARMACY LLC
- Practice address
- 17660 Union Tpke
Fresh Meadows, NY 11366-1531 - Phone
- (718) 380-3600
- Fax
- (718) 380-0899
- NPI assigned
- Sep 14, 2006
- 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
- Mr. Michael Edward Pearlman, RPH
- Title
- Pharmacy Director
- Phone
- (212) 737-5560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 026175 | NY | Primary |
Addresses
Primary practice location
17660 Union Tpke
Fresh Meadows, NY 11366-1531
Mailing address
17660 Union Tpke
Fresh Meadows, NY 11366-1531
Phone (718) 380-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3334961 | Other | NY | NCPDP ID |
| 02492120 | Medicaid | NY |
Other names 1
- THRIFTWAY PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1376648097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661531",
"telephone_number": "718-380-3600",
"fax_number": "718-380-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661531",
"telephone_number": "718-380-3600",
"fax_number": "718-380-0899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTWAY UNION TURNPIKE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "PEARLMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "212-737-5560",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "026175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP ID",
"identifier": "3334961",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02492120",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THRIFTWAY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.