Organization Active NPI

Healthwise Pharmacy II Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1487721163
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021341 Issued in NY
Legal business name
HEALTHWISE PHARMACY II INC.
Practice address
1494 York Ave
New York, NY 10021-8816
Phone
(212) 472-5600
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Shivani D DesaiNPI 1497254445
Title
President
Phone
(212) 472-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021341 NY Primary

Addresses

Primary practice location

1494 York Ave
New York, NY 10021-8816

Mailing address

1494 York Ave
New York, NY 10021-8816
Phone (212) 472-5600

Other identifiers 2

IdentifierTypeStateIssuer
01335299MedicaidNY
3323778OtherNABP

Other names 1

  • HEALTH WISE 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
O20190130002394 NY DME Supplier - Pharmacy 1658618525 Practice locations: New York, NY
O20210303001668 NY Part B Supplier - Pharmacy 1658618525 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1494 York Ave
New York, NY 10075
Phone (212) 472-5600

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1487721163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218816",
            "telephone_number": "212-472-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218816",
            "telephone_number": "212-472-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE PHARMACY II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-472-5600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335299",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3323778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH WISE 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 Jan 23, 2019; 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.