Ep 2020 Store No 1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EP 2020 STORE NO 1 LLC

Doing business as

Ecogreen Pharmacy

Practice address

256 W 116TH St
New York, NY 10026-3570

Phone

(646) 559-1280

Fax

(646) 524-5867

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Aboubacar SyllaNPI 1184948952

Title

Managing Member

Phone

(646) 559-1280

Specialties & licenses 1

Addresses

Other names 1

• ECOGREEN PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aboubacar Sylla, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1184948952
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1467114934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263570",
            "telephone_number": "646-559-1280",
            "fax_number": "646-524-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263570",
            "telephone_number": "646-559-1280",
            "fax_number": "646-524-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP 2020 STORE NO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "SYLLA",
        "authorized_official_first_name": "ABOUBACAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-559-1280"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECOGREEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECOGREEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Envaio Inc (Euro Optica)
• Necati Enver, M.D.
• Envision Performance Occupational Therapy, PLLC
• Chisom Enwere, MD
• Enzo Fantin-Yusta MD PLLC
• Gerard Epelbaum, D.D.S.
• Sylvie Martine Epelbaum, MD
• Ephraim M Ovitsh MD PC
• Belen Sabrina Ephrem, PA-C
• Estee Ephron, NP

• 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 20, 2022; 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.