Organization Active NPI

Lerin Drug Co, Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1407847635
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
17529 Issued in NY
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

Updated by the provider on Sep 25, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00719044MedicaidNY

Other names 1

  • Town Drug and Surgical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930023052 NY DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.