Organization Active NPI

Ror Madison Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1538182498
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027675 Issued in NY
Legal business name
ROR MADISON PHARMACY INC
Doing business as
Ror Madison Pharmacy Inc
Practice address
1636 Madison Ave
New York, NY 10029-3543
Phone
(212) 369-0700
Fax
(212) 369-0794
NPI assigned
Jul 25, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Olga Abdurakhmanova, RPHNPI 1598930794
Title
Supervising Pharmacist
Phone
(212) 369-0700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 027675 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1636 Madison Ave
New York, NY 10029-3543

Mailing address

1636 Madison Ave
New York, NY 10029-3543
Phone (212) 369-0700

Other names 1

  • ROR MADISON PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930055872 NY DME Supplier - Pharmacy 2668673039 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
Ror Madison Pharmacy Inc1636 Madison Ave, New York, NY 10029-3543(212) 369-0700 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 6, 2006

National Provider Directory

National Provider Directory

Locations

1636 Madison Ave
New York, NY 10029
Phone (212) 369-0700

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1538182498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293543",
            "telephone_number": "212-369-0700",
            "fax_number": "212-369-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293543",
            "telephone_number": "212-369-0700",
            "fax_number": "212-369-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROR MADISON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "ABDURAKHMANOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-369-0700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027675",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROR MADISON PHARMACY INC",
            "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 Apr 2, 2015; 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.