Organization Active NPI

Pancare Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1407880479
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026165 Issued in NY
Legal business name
PANCARE PHARMACY INC
Doing business as
PANCARE PHARMACY INC
Practice address
22 Bowery
New York, NY 10013-5102
Phone
(212) 240-2312
Fax
(212) 240-2308
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Josephine CheungNPI 1437331568
Title
President
Phone
(212) 240-2312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026165 NY Primary

Addresses

Primary practice location

22 Bowery
New York, NY 10013-5102

Mailing address

22 Bowery
New York, NY 10013-5102
Phone (212) 240-2312

Other identifiers 2

IdentifierTypeStateIssuer
2060250OtherPK
02423229MedicaidNY

Other names 1

  • PANCARE PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930020468 NY DME Supplier - Pharmacy 9032327655 Practice locations: New York, NY
O20210128001761 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9032327655 Practice locations: New York, NY
O20220721000205 NY Part B Supplier - Pharmacy 9032327655 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pancare Pharmacy Inc22 Bowery, New York, NY 10013-5102(212) 240-2312 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Diabetic Shoes and In… Accepts assignmentParticipating since Dec 7, 2004

National Provider Directory

National Provider Directory

Locations

22 Bowery
New York, NY 10013
Phone (212) 240-2312

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1407880479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BOWERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135102",
            "telephone_number": "212-240-2312",
            "fax_number": "212-240-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BOWERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135102",
            "telephone_number": "212-240-2312",
            "fax_number": "212-240-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-240-2312"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060250",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANCARE PHARMACY INC",
            "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 Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.