Active NPI
Manav II Inc
Doing business as good health family pharmacy
- Pharmacy
- New York, NY
National Provider Identifier
1396720926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 026778
- Legal business name
- MANAV II INC
- Doing business as
- good health family pharmacy
- Practice address
- 449 W 125TH St
New York, NY 10027-4210 - Phone
- (212) 665-6007
- Fax
- (212) 665-6220
- NPI assigned
- Dec 6, 2005
- Last updated
- Aug 22, 2020
- 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
- Mrs. Kanigiri Gade
- Title
- President
- Phone
- (212) 665-6007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 026778 | NY | Primary |
Addresses
Primary practice location
449 W 125TH St
New York, NY 10027-4210
Mailing address
449 W 125TH St
New York, NY 10027-4210
Phone (212) 665-6007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02590265 | Medicaid | NY | |
| 3339478 | Other | NY | NCPDP |
Other names 1
- good health family pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- New York, NY
- NPI 1457508293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396720926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274210",
"telephone_number": "212-665-6007",
"fax_number": "212-665-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274210",
"telephone_number": "212-665-6007",
"fax_number": "212-665-6220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAV II INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GADE",
"authorized_official_first_name": "KANIGIRI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-665-6007",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "026778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02590265",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3339478",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "good health family pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.