Organization Active NPI

J W Embassy Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1548487648
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016953 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01654719MedicaidNY
3301063OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • J W EMBASSY CORP Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.