Maple Ave Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027013 Issued in NY

Legal business name

MAPLE AVE PHARMACY INC

Practice address

48 Bakertown Road
Suite 101
Monroe, NY 10950

Phone

(845) 774-1464

Fax

(845) 774-1454

NPI assigned

May 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Isreal Meilech Weissman

Title

Manager

Phone

(845) 774-1464

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Monroe Health Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• James Yoon, RPH

  • Pharmacist
  • Monroe, NY
  • NPI 1659493039
  NPD (past)

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1396748810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BAKERTOWN ROAD",
            "address_2": "SUITE 101",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-774-1464",
            "fax_number": "845-774-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BAKERTOWN ROAD",
            "address_2": "SUITE 101",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-774-1464",
            "fax_number": "845-774-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ISREAL",
        "authorized_official_middle_name": "MEILECH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-774-1464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027013",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Health Mart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Malitz, MSW
• Sirisha Mallidi, RPH
• Leah Mandel, CASE MANAGER/CARE CO
• Miriam Mandel, M.S. CCC-SLP
• Rivka Mandel, LCSW
• Annemarie Mioshi Marcan, RN
• March Feder DMD PC
• Jo Ann Collette Maresca-Troiano, R.PH.
• Perryn Maresca, LCSW
• Dov Markowitz, PA

• Community/Retail Pharmacy in Monroe, NY
• Providers in Monroe, 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 Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.