Active NPI
MSC Pharmacy Inc
Doing business as Columbus Ave Pharmacy
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1508648387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MSC PHARMACY INC
- Doing business as
- Columbus Ave Pharmacy
- Practice address
- 914 Columbus Ave
New York, NY 10025-4040 - Phone
- (212) 663-7440
- Fax
- (212) 663-7443
- NPI assigned
- Oct 17, 2023
- Last updated
- Feb 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teimuraz Danelia
- Title
- President
- Phone
- (631) 397-6255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
914 Columbus Ave
New York, NY 10025-4040
Mailing address
914 Columbus Ave
New York, NY 10025-4040
Phone (212) 634-9890
Other names 1
- COLUMBUS AVE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240118003624 | NY | Part B Supplier - Pharmacy | 7810349479 | Practice locations: New York, NY |
| O20240503000425 | NY | DME Supplier - Pharmacy | 7810349479 | Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Columbus Ave Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
914 Columbus Ave
New York, NY 10025
Phone (212) 663-7440
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Bronx, NY
- NPI 1376870204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1508648387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254040",
"telephone_number": "212-634-9890",
"fax_number": "212-663-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254040",
"telephone_number": "212-663-7440",
"fax_number": "212-663-7443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-17",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "DANELIA",
"authorized_official_first_name": "TEIMURAZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-397-6255"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COLUMBUS AVE 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 Feb 4, 2026; 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.