Organization Active NPI

Catherine Street Pharmacy Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1548034689
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CATHERINE STREET PHARMACY INC
Practice address
58 E Broadway
New York, NY 10002-6803
Phone
(917) 472-7328
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Mr. Yong ChenNPI 1063285922
Title
Owner
Phone
(917) 472-7328

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

58 E Broadway
New York, NY 10002-6803

Mailing address

58 E Broadway
New York, NY 10002-6803
Phone (917) 472-7328

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240305002847 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4082059647 Practice locations: New York, NY
O20240729002405 NY DME Supplier - Pharmacy 4082059647 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
Catherine Street Pharmacy Inc.58 E Broadway, New York, NY 10002-6803(917) 472-7328 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|… Does not accept assignmentParticipating since Feb 6, 2024

National Provider Directory

National Provider Directory

Locations

58 E Broadway
New York, NY 10002
Phone (917) 472-7328

58 E Broadway
#1
New York, NY 10002
Phone (917) 472-7328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1548034689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026803",
            "telephone_number": "917-472-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026803",
            "telephone_number": "917-472-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-472-7328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2023; 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.