Organization Active NPI

Newman Lyman Drug Co Inc

Doing business as Theresa Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1548325970
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
009930 Issued in NY
Legal business name
NEWMAN LYMAN DRUG CO INC
Doing business as
Theresa Pharmacy
Practice address
3901 Broadway
New York, NY 10032-1503
Phone
(212) 923-7617
Fax
(212) 923-0017
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Robert Rosenburg
Title
Pres and Owner
Phone
(212) 923-7617

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 009930 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3901 Broadway
New York, NY 10032-1503

Mailing address

3901 Broadway
New York, NY 10032-1503
Phone (212) 923-7617

Other identifiers 2

IdentifierTypeStateIssuer
00263621MedicaidNY
2062945OtherPK

Other names 1

  • THERESA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3901 Broadway
New York, NY 10032
Phone (212) 923-7617

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1548325970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321503",
            "telephone_number": "212-923-7617",
            "fax_number": "212-923-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321503",
            "telephone_number": "212-923-7617",
            "fax_number": "212-923-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN LYMAN DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "ROSENBURG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES AND OWNER",
        "authorized_official_telephone_number": "212-923-7617"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "009930",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00263621",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THERESA 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 Jun 9, 2016; 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.