North State Healthy Solutions LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTH STATE HEALTHY SOLUTIONS LLC

Practice address

3619 Provost Ave
1St Floor
Bronx, NY 10466-6145

Phone

(646) 350-0033

Fax

(855) 326-6768

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Finny Joseph, RPH

Title

Member/Manager

Phone

(919) 610-8975

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HALDEY Pharmaceutical Compounding Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 6

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

• Mark Boris Bailey, RPH, PHD

  • Pharmacist
  • Bronx, NY
  • NPI 1679030118
  NPD (past)
• Matthew Ian Bernstein, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1760714646
  NPD (past)
• Emil Joseph Haldey, RPH, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1780854497
  NPD (past)
• Janive-an Palaganas, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1770305922
  NPD (past)
• Muhammad Waqas, PHARMACIST

  • Pharmacist
  • Bronx, NY
  • NPI 1265019830
  NPD (past)
• Jinju Yoon

  • Pharmacist
  • Bronx, NY
  • NPI 1558978668
  NPD (past)

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1417295437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PROVOST AVE",
            "address_2": "1ST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104666145",
            "telephone_number": "646-350-0033",
            "fax_number": "855-326-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PROVOST AVE",
            "address_2": "1ST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104666145",
            "telephone_number": "646-350-0033",
            "fax_number": "855-326-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE HEALTHY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "FINNY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "919-610-8975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03548189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALDEY Pharmaceutical Compounding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HALDEY Pharmaceutical Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northeast Bronx OB/GYN Associates, P.C.
• Northern Bronx Physical Therapy PC
• Northland Hearing Centers, Inc.

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 Oct 12, 2020; 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.