Organization Active NPI

MSC Pharmacy Inc

Doing business as Columbus Ave Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1508648387
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

SupplierSuppliesMedicare assignment
Columbus Ave Pharmacy914 Columbus Ave, New York, NY 10025-4040(212) 663-7440 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 9, 2023

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.