Organization Active NPI

Healthy Harlem RX Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1578029104
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALTHY HARLEM RX CORP
Practice address
1875 Lexington Ave
New York, NY 10035-4733
Phone
(212) 601-2661
Fax
(212) 601-2660
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Abraham BehfarNPI 1619516135
Title
Owner
Phone
(212) 601-2661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1875 Lexington Ave
New York, NY 10035-4733

Mailing address

1875 Lexington Ave
New York, NY 10035-4733
Phone (212) 601-2661

Other identifiers 1

IdentifierTypeStateIssuer
037222OtherNYSTATE LICENSE

Other names 1

  • healthy harlem rx corp Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190807000238 NY DME Supplier - Pharmacy 2264769785 Practice locations: New York, NY
O20210506002018 NY Part B Supplier - Pharmacy 2264769785 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthy Harlem RX Corp1875 Lexington Ave, New York, NY 10035-4733(212) 601-2661 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 22, 2019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1578029104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354733",
            "telephone_number": "212-601-2661",
            "fax_number": "212-601-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354733",
            "telephone_number": "212-601-2661",
            "fax_number": "212-601-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HARLEM RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "BEHFAR",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-601-2661"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "037222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthy harlem rx corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.