Active NPI
Lerin Drug Co, Inc
- Pharmacy
- New York, NY
National Provider Identifier
1407847635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 17529
- Legal business name
- LERIN DRUG CO, INC
- Doing business as
- Town Drug and Surgical
- Practice address
- 501 W 113TH St
New York, NY 10025-8073 - Phone
- (212) 678-0636
- NPI assigned
- Nov 5, 2005
- 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. John Peter Navarra, RPH
- Title
- President
- Phone
- (516) 650-1870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 17529 | NY | Primary |
Addresses
Primary practice location
501 W 113TH St
New York, NY 10025-8073
Mailing address
501 W 113TH St
Ny, NY 10025
Phone (212) 749-2677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00719044 | Medicaid | NY |
Other names 1
- Town Drug and Surgical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930023052 | NY | DME Supplier - Pharmacy | 4789702069 | Practice locations: New York, NY |
| O20210129000626 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789702069 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Lerin Drug Co Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1891535944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411603200000",
"number": "1407847635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W 113TH ST",
"city": "NY",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-749-2677",
"fax_number": "212-662-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 113TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100258073",
"telephone_number": "212-678-0636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LERIN DRUG CO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-05",
"last_updated": "2014-09-25",
"status": "A",
"authorized_official_last_name": "NAVARRA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-650-1870",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "17529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00719044",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Town Drug and Surgical",
"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 Sep 25, 2014; 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.