X I P Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

019073 Issued in NY

Legal business name

X I P PHARMACY INC

Doing business as

Xip Pharmacy Inc

Practice address

21 34 Broadway
Astoria, NY 11106-4598

Phone

(718) 204-6565

Fax

(718) 545-7313

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Michael Sarkus

Title

Phcy Sup

Phone

(718) 204-6565

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• XIP PHARMACY INC Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1447271499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 34 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064598",
            "telephone_number": "718-204-6565",
            "fax_number": "718-545-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 34 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064598",
            "telephone_number": "718-204-6565",
            "fax_number": "718-545-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X I P PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "SARKUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHCY SUP",
        "authorized_official_telephone_number": "718-204-6565"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064382",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00968823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XIP PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan D Wruble, MD
• Daniel Wu, DO
• Helen Wu, NP-BC
• Raymond Wu, RPH
• Stephanie Wu
• Barbara Xavier Caturra, RN
• Christos Xenophontos
• Charlie Xiao, MSN, MBA, PMHNP-BC
• Hangyu Xiao, MHC-LP
• Harry Xidias, RPH

• Community/Retail Pharmacy in Astoria, NY
• Providers in Astoria, 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 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.