Organization Active NPI

Novel RX LLC

Doing business as Erins Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1487355566
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NOVEL RX LLC
Doing business as
Erins Pharmacy
Practice address
360 E 4TH St
New York, NY 10009-8501
Phone
(212) 677-7335
Fax
(212) 677-7244
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Mrs. Manjula Nalajalla
Title
Member
Phone
(251) 408-7261

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

360 E 4TH St
New York, NY 10009-8501

Mailing address

360 E 4TH St
New York, NY 10009-8501
Phone (212) 677-7335

Other names 1

  • ERINS 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
O20230405001664 NY Part B Supplier - Pharmacy 3375918311 Practice locations: New York, NY
O20230619001371 NY DME Supplier - Pharmacy 3375918311 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Erins Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1487355566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098501",
            "telephone_number": "212-677-7335",
            "fax_number": "212-677-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098501",
            "telephone_number": "212-677-7335",
            "fax_number": "212-677-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "NALAJALLA",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "251-408-7261",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 15, 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.