Lenox Terrace Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025372 Issued in NY

Legal business name

LENOX TERRACE PHARMACY INC

Practice address

20 W 135TH St
New York, NY 10037-2534

Phone

(212) 234-2050

Fax

(212) 234-3970

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Brahmaji Valivetz

Title

President

Phone

(212) 234-2050

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• LENOX TERRACE DRUG STORE INC Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1477568079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372534",
            "telephone_number": "212-234-2050",
            "fax_number": "212-234-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372534",
            "telephone_number": "212-234-2050",
            "fax_number": "212-234-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX TERRACE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "VALIVETZ",
        "authorized_official_first_name": "BRAHMAJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-234-2050"
    },
    "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": "025372",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02238728",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENOX TERRACE DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 31, 2016; 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.