Organization Active NPI

McLean Pharmacy 211 Inc

Doing business as McLean Pharmacy

  • Pharmacy
  • Yonkers, NY
National Provider Identifier
1457136632
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MCLEAN PHARMACY 211 INC
Doing business as
McLean Pharmacy
Practice address
211 McLean Ave
Yonkers, NY 10705-4419
Phone
(914) 327-4888
Fax
(914) 327-4884
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Muhammad Shahid
Title
President
Phone
(914) 327-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

211 McLean Ave
Yonkers, NY 10705-4419

Mailing address

211 McLean Ave
Yonkers, NY 10705-4419
Phone (914) 327-4888

Other names 1

  • MCLEAN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231017000744 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4385099902 Practice locations: Yonkers, NY
O20240410000974 NY DME Supplier - Pharmacy 4385099902 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1457136632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054419",
            "telephone_number": "914-327-4888",
            "fax_number": "914-327-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054419",
            "telephone_number": "914-327-4888",
            "fax_number": "914-327-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN PHARMACY 211 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-327-4888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLEAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.