Organization Active NPI

Metro-North Pharmacy Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1528076635
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024291 Issued in NY
Legal business name
METRO-NORTH PHARMACY INC.
Practice address
1972 1St Ave
New York, NY 10029-6430
Phone
(914) 747-6845
Fax
(212) 427-1190
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Shahida Nasreen Qadir, BS
Title
Pres.
Phone
(212) 427-1718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 024291 NY
Community/Retail Pharmacy 3336C0003X 024291 NY Primary

Addresses

Primary practice location

1972 1St Ave
New York, NY 10029-6430

Mailing address

16 Flag Hill Rd
Chappaqua, NY 10514-3032
Phone (914) 747-6845

Other identifiers 1

IdentifierTypeStateIssuer
01928472MedicaidNY

National Provider Directory

National Provider Directory

Locations

1972 1st Ave
New York, NY 10029
Phone (914) 747-6845

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528076635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FLAG HILL RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143032",
            "telephone_number": "914-747-6845",
            "fax_number": "212-427-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296430",
            "telephone_number": "914-747-6845",
            "fax_number": "212-427-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO-NORTH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_middle_name": "NASREEN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "212-427-1718",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": "024291",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01928472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.