Organization Active NPI

La Fe Pharmacy Corp.

Doing business as La Fe Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1417381005
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032174 Issued in NY
Legal business name
LA FE PHARMACY CORP.
Doing business as
La Fe Pharmacy
Practice address
1395 Saint Nicholas Ave
New York, NY 10033-4047
Phone
(212) 321-0083
NPI assigned
Aug 30, 2013
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Juan Hidalgo
Title
President
Phone
(212) 321-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032174 NY Primary

Addresses

Primary practice location

1395 Saint Nicholas Ave
New York, NY 10033-4047

Mailing address

1395 Saint Nicholas Ave
New York, NY 10033-4047
Phone (212) 321-0083

Other names 1

  • LA FE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412001234 NY Part B Supplier - Pharmacy 4688801137 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1395 Saint Nicholas Ave
New York, NY 10033
Phone (212) 321-0083

4220 Broadway
New York, NY 10033
Phone (212) 321-0083

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1417381005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334047",
            "telephone_number": "212-321-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334047",
            "telephone_number": "212-321-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FE PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-321-0083"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA FE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LA FE 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 Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.