311 Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026599 Issued in NY

Legal business name

311 PHARMACY CORP

Practice address

522 W 181St St
New York, NY 10033-5101

Phone

(212) 740-3737

Fax

(212) 740-4044

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Owens, R.PH.

Title

Supervising Pharmacist

Phone

(212) 740-3737

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HEIDI PHARMACY Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imdad A Ansari, PHARMACIST

  • Pharmacist
  • New York, NY
  • NPI 1538483110
  NPD (past)
• Patrick Kerr, PHARM. D

  • Pharmacotherapy Pharmacist
  • New York, NY
  • NPI 1255632899
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376686295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335101",
            "telephone_number": "212-740-3737",
            "fax_number": "212-740-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335101",
            "telephone_number": "212-740-3737",
            "fax_number": "212-740-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "311 PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-740-3737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551884",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3337361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEIDI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.