Mishkins Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033076 Issued in NY

Legal business name

MISHKINS PHARMA LLC

Practice address

1714 Amsterdam Ave
New York, NY 10031-4602

Phone

(212) 926-2801

Fax

(212) 862-4715

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Nareen Adusumelli

Title

Supervising Pharmacist / Manager

Phone

(212) 926-2801

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MISHKINS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seung Ki Yoo

  • Pharmacist
  • New York, NY
  • NPI 1194972604
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1467869495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314602",
            "telephone_number": "212-926-2801",
            "fax_number": "212-862-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314602",
            "telephone_number": "212-926-2801",
            "fax_number": "212-862-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHKINS PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "ADUSUMELLI",
        "authorized_official_first_name": "NAREEN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST / MANAGER",
        "authorized_official_telephone_number": "212-926-2801"
    },
    "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": "033076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148254",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04095061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISHKINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MISHKINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Mishan, NP
• Susan Mishiyev
• Marina G Mishiyeva
• Adrienne D Mishkin, MD, MPH
• Robert John Mishkin, M.D.
• David H Mishler
• Jonathan Michael Mishoe
• Diksha Mishra, M.D.
• Kirti Mishra
• Kirtishri Mishra, M.D.

• 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 Oct 2, 2020; 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.