Organization Active NPI

Lenox Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1386735926
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023095 Issued in NY
Legal business name
LENOX PHARMACY INC
Practice address
27 Malcolm X Blvd
New York, NY 10026-3819
Phone
(212) 678-9722
Fax
(212) 678-9733
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Miss Ajantha Bommareddy
Title
President
Phone
(212) 678-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023095 NY Primary

Addresses

Primary practice location

27 Malcolm X Blvd
New York, NY 10026-3819

Mailing address

27 Malcolm X Blvd
New York, NY 10026-3819
Phone (212) 678-9722

Other identifiers 1

IdentifierTypeStateIssuer
01694206MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1386735926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263819",
            "telephone_number": "212-678-9722",
            "fax_number": "212-678-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263819",
            "telephone_number": "212-678-9722",
            "fax_number": "212-678-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BOMMAREDDY",
        "authorized_official_first_name": "AJANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-678-9722",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694206",
            "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 Feb 22, 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.

Verify at the official NPI Registry.