Ridgewood City Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

029140 Issued in NY

Legal business name

RIDGEWOOD CITY PHARMACY INC.

Doing business as

Ridgewood City Pharmacy

Practice address

775 Seneca Ave
Ridgewood, NY 11385-4127

Phone

(718) 381-7766

Fax

(718) 381-7765

NPI assigned

Dec 13, 2008

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Padma Pallapolu

Title

Owner

Phone

(718) 381-7766

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ridgewood City Pharmacy 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

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1437394822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854127",
            "telephone_number": "718-381-7766",
            "fax_number": "718-381-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854127",
            "telephone_number": "718-381-7766",
            "fax_number": "718-381-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD CITY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "PALLAPOLU",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-381-7766"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgewood City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgewood City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ridgewood Chemists Inc
• Ridgewood Dental Group
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• Ridgewood Medical Diagnostic PC
• Ridgewood Optical Warehouse Outlet Corp.
• Ridgewood Optical, Inc.

• Pharmacy in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.