Active NPI
B Eidinger & Son Drug Corp
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1417039207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 006599
- Legal business name
- B EIDINGER & SON DRUG CORP
- Practice address
- 250 3Rd Ave
New York, NY 10010-7465 - Phone
- (212) 475-1144
- Fax
- (212) 777-1032
- NPI assigned
- Oct 20, 2006
- 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
- Mitchell Barell
- Title
- RPH
- Phone
- (212) 475-1144
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 006599 | NY | Primary |
Addresses
Primary practice location
250 3Rd Ave
New York, NY 10010-7465
Mailing address
250 3Rd Ave
New York, NY 10010-7465
Phone (212) 475-1144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3376907 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 00935680 | Medicaid | NY |
Other names 1
- ELLIOTT PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1245553627
-
- Pharmacist
- New York, NY
- NPI 1487977997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255651200000",
"number": "1417039207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107465",
"telephone_number": "212-475-1144",
"fax_number": "212-777-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107465",
"telephone_number": "212-475-1144",
"fax_number": "212-777-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B EIDINGER & SON DRUG CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2009-10-16",
"status": "A",
"authorized_official_last_name": "BARELL",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "212-475-1144"
},
"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": "006599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3376907",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00935680",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELLIOTT PHARMACY",
"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 Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.