Active NPI
La Fe Pharmacy Corp.
Doing business as La Fe Pharmacy
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1417381005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032174
- 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, 2021
- 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
- Juan Hidalgo
- Title
- President
- Phone
- (212) 321-0083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220412001234 | NY | Part B Supplier - Pharmacy | 4688801137 | Practice locations: New York, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- New York, NY
- NPI 1215171087
-
- Internal Medicine Physician
- New York, NY
- NPI 1487273660
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1710349816
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
- Jenny Ellen La Barbera, PSY.D., BCBA-D, LBA
- William Andrew La Battaglia Jr., P.A.
- La Bleu Optique (La Bleu)
- Leeanna Candice La Borde, MBBS
- Cynthia Alice La Corbiniere, LPN
- Stephanie La Gamma
- La Hispana on Broadway Pharmacy LLC
- Christopher Nicholas La Lima, PHD
- La Marca Eye Care Inc (La Marca Eye Care)
- Patrice A. La Mariana, LP
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.