Harlem Specialty Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HARLEM SPECIALTY DRUG CORP

Practice address

1994 3Rd Ave
New York, NY 10029-3644

Phone

(212) 427-7123

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Abner De Los Santos

Title

President

Phone

(212) 427-7123

Specialties & licenses 1

Addresses

Other names 1

• I & S Pharmacy Doing business as

Electronic endpoints 1

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

Practitioners 2

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

• Hector Luis Hernandez Jr., RPH

  • Pharmacist
  • New York, NY
  • NPI 1891010492
  NPD (past)
• Nancy Ortiz, PHARMD, RPH

  • Pharmacist
  • New York, NY
  • NPI 1134696297
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1417626896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293644",
            "telephone_number": "212-427-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM SPECIALTY DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "ABNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-427-7123"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxadmin@iandsrx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1994 3rd Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100293644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "I & S Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harlem Pharmacy Inc
• Harlem Physician Group
• Harlem Rheumatology LLC
• Harlem RX Inc.
• Harlem RX Pharmacy Inc
• Harlem Star Pharmacy Inc.
• Harlem Super Pharmacy Inc
• Harlem United Com AIDS Ctr Ai
• Harlem Vision Group Inc.
• Harlem Vision Inc.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Sep 9, 2021; 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.