Organization Active NPI

Abc Pharmacy V Corp.

Doing business as abc pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1528362811
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030509 Issued in NY
Legal business name
ABC PHARMACY V CORP.
Doing business as
abc pharmacy
Practice address
17 E Broadway Store #105
New York, NY 10002-6994
Phone
(212) 965-8882
Fax
(212) 965-8278
NPI assigned
Jan 1, 2011
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Mr. Hok Doon John Au
Title
President
Phone
(347) 680-6278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 030509 NY
Community/Retail Pharmacy 3336C0003X 030509 NY Primary

Addresses

Primary practice location

17 E Broadway Store #105
New York, NY 10002-6994

Mailing address

17 E Broadway Store #105
New York, NY 10002-6994
Phone (212) 965-8882

Other identifiers 1

IdentifierTypeStateIssuer
5801938OtherNYNCDBP

Other names 1

  • abc 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
O20110408000253 NY DME Supplier - Pharmacy 1355525726 Practice locations: New York, NY
O20230405001653 NY Part B Supplier - Pharmacy 1355525726 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

17 E Broadway
#105
New York, NY 10002
Phone (212) 965-8882

17 E Broadway
Unit 105
New York, NY 10002
Phone (212) 965-8885

NPI Registry JSON

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1528362811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E BROADWAY STORE #105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026994",
            "telephone_number": "212-965-8882",
            "fax_number": "212-965-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E BROADWAY STORE #105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026994",
            "telephone_number": "212-965-8882",
            "fax_number": "212-965-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PHARMACY V CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-01",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "HOK DOON JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-680-6278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030509",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDBP",
            "identifier": "5801938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "abc 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 24, 2017; 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.