Active NPI
66 Pharmacy Inc
- Pharmacy
- New York, NY
National Provider Identifier
1447891635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- 66 PHARMACY INC
- Practice address
- 66 E Broadway
New York, NY 10002-6831 - Phone
- (646) 484-6683
- Fax
- (646) 484-6547
- NPI assigned
- Sep 30, 2019
- 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
- Yu Lin
- Title
- President
- Phone
- (646) 484-6683
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
66 E Broadway
New York, NY 10002-6831
Mailing address
66 E Broadway
New York, NY 10002-6831
Phone (646) 484-6683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200107002242 | NY | DME Supplier - Pharmacy | 3274967823 | Practice locations: New York, NY |
| O20240412001234 | NY | Part B Supplier - Pharmacy | 3274967823 | Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 66 Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimula… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
66 E Broadway
New York, NY 10002
Phone (646) 484-6683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569801600000",
"number": "1447891635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 E BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100026831",
"telephone_number": "646-484-6683",
"fax_number": "646-484-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 E BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100026831",
"telephone_number": "646-484-6683",
"fax_number": "646-484-6547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "66 PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "YU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-484-6683"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 30, 2019; 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.