Organization Active NPI

Taino Star Pharmacy, Inc.

Doing business as Taino Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1558468496
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028756 Issued in NY
Legal business name
TAINO STAR PHARMACY, INC.
Doing business as
Taino Pharmacy
Practice address
2403 2ND Ave
New York, NY 10035-2102
Phone
(212) 289-2000
Fax
(212) 289-5992
NPI assigned
Sep 20, 2006
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Satya Dasari
Title
President
Phone
(212) 289-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028756 NY Primary

Addresses

Primary practice location

2403 2ND Ave
New York, NY 10035-2102

Mailing address

2403 2ND Ave
New York, NY 10035-2102
Phone (212) 289-2000

Other identifiers 2

IdentifierTypeStateIssuer
3348009OtherNCPDP PROVIDER IDENTIFICATION NUMBER
02947799MedicaidNY

Other names 1

  • TAINO PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2403 2nd Ave
New York, NY 10035
Phone (212) 289-2000

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1558468496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352102",
            "telephone_number": "212-289-2000",
            "fax_number": "212-289-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352102",
            "telephone_number": "212-289-2000",
            "fax_number": "212-289-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAINO STAR PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-289-2000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3348009",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02947799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAINO 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 Dec 17, 2015; 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.