Las Alturas LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAS ALTURAS LLC

Doing business as

Marin Pharmacy

Practice address

1570-04 St.Nicholas Ave
New York, NY 10040

Phone

(212) 795-1795

Fax

(212) 740-7868

NPI assigned

Aug 17, 2022

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdulwahab QureshiNPI 1679880116

Title

Managing Member

Phone

(212) 795-1795

Specialties & licenses 1

Addresses

Other names 1

• MARIN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdul Wahab M Qureshi

  • Pharmacist
  • New York, NY
  • NPI 1679880116
  NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1568180370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570-04 ST.NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-795-1795",
            "fax_number": "212-740-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570-04 ST.NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-795-1795",
            "fax_number": "212-740-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS ALTURAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ABDULWAHAB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-795-1795"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renya Larson, LMSW
• Steven M Larson, MD
• Steven M. Larson, O.D. PSY.D.
• Philip Larussa, MD
• Yolanda M Larys, MD
• Nancy Lasak, D.C.
• Allison F Lasala, LMHC
• Anita Lasala, M.D.
• Shayna Lasala, NP
• Vincent R Lasala, MD

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.