Organization Active NPI

B Eidinger & Son Drug Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1417039207
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006599 Issued in NY
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

Updated by the provider on Oct 16, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3376907OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00935680MedicaidNY

Other names 1

  • ELLIOTT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.