Park Irmat Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021645 Issued in NY

Legal business name

PARK IRMAT DRUG CORP

Practice address

2 Park Ave
New York, NY 10016-5675

Phone

(212) 685-0500

Fax

(212) 532-6596

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Janakiram Ajjarapu

Title

President

Phone

(267) 888-1001

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• IRMAT PHARMACY Doing business as

Locations

Practitioners 3

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

• Kwok Kuen Chong

  • Pharmacist
  • New York, NY
  • NPI 1184864001
  NPD (past)
• Victor Falah, RPH

  • Pharmacist
  • New York, NY
  • NPI 1275635336
  NPD (past)
• Tuong Thien Nguyen, PHARM D.

  • Pharmacist
  • New York, NY
  • NPI 1881788560
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1407949183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165675",
            "telephone_number": "212-685-0500",
            "fax_number": "212-532-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165675",
            "telephone_number": "212-685-0500",
            "fax_number": "212-532-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK IRMAT DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "AJJARAPU",
        "authorized_official_first_name": "JANAKIRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-888-1001"
    },
    "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": "021645",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRMAT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.