Ethical Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030032 Issued in NY

Legal business name

ETHICAL DRUG INC

Doing business as

san nicholas pharmacy

Practice address

1265 Saint Nicholas Ave
New York, NY 10033-7266

Phone

(212) 781-4214

Fax

(212) 281-4758

NPI assigned

Nov 19, 2009

Last updated

Oct 11, 2013By 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

Raj Desai

Title

Pharmacist

Phone

(212) 781-4214

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• san nicholas pharmacy Doing business as

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.

• Rajesh Desai, RPH

  • Pharmacist
  • New York, NY
  • NPI 1952639585
  NPD

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1568790111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337266",
            "telephone_number": "212-781-4214",
            "fax_number": "212-781-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337266",
            "telephone_number": "212-781-4214",
            "fax_number": "212-281-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHICAL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-781-4214"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3179691",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san nicholas pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexis Etheridge, MD
• Michael A Etheridge, LMSW
• Ethics Dental Ipa, Inc
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• Oghenefejiro M Etibo
• Amandine Valerie Etienne
• Cindy Etienne, WHNP

• 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 Oct 11, 2013; 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.