Active NPI
J W Embassy Corp
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1548487648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 016953
- Legal business name
- J W EMBASSY CORP
- Doing business as
- J W Embassy Corp
- Practice address
- 200 W 145TH St
New York, NY 10039-4121 - Phone
- (212) 368-8100
- Fax
- (212) 234-1512
- NPI assigned
- Apr 19, 2007
- Last updated
- Jan 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Alam
- Title
- RPH
- Phone
- (212) 368-8100
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 016953 | NY | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
200 W 145TH St
New York, NY 10039-4121
Mailing address
200 W 145TH St
New York, NY 10039-4121
Phone (212) 368-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01654719 | Medicaid | NY | |
| 3301063 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- J W EMBASSY CORP
National Provider Directory
National Provider DirectoryLocations
200 W 145th St
New York, NY 10039
Phone (212) 368-8100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1548487648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100394121",
"telephone_number": "212-368-8100",
"fax_number": "212-234-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100394121",
"telephone_number": "212-368-8100",
"fax_number": "212-234-1512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J W EMBASSY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "ALAM",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "212-368-8100"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "016953",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01654719",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3301063",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J W EMBASSY CORP",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.