Organization Active NPI

Peters Pharmacy and Vitamins Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1578624391
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025831 Issued in NY
Legal business name
PETERS PHARMACY AND VITAMINS INC
Practice address
652 Amsterdam Ave
New York, NY 10025-7458
Phone
(212) 873-8838
Fax
(212) 873-8812
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Peter Chin, PHARMACYNPI 1184918757
Title
Pharmacist
Phone
(212) 873-8838

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 025831 NY Primary

Addresses

Primary practice location

652 Amsterdam Ave
New York, NY 10025-7458

Mailing address

652 Amsterdam Ave
New York, NY 10025-7458
Phone (212) 873-8838

Other identifiers 2

IdentifierTypeStateIssuer
2059936OtherPK
02415621MedicaidNY

Other names 1

  • PETERS PHARMACY AND VITAMINS INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1578624391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257458",
            "telephone_number": "212-873-8838",
            "fax_number": "212-873-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257458",
            "telephone_number": "212-873-8838",
            "fax_number": "212-873-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS PHARMACY AND VITAMINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-873-8838",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059936",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02415621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETERS PHARMACY AND VITAMINS INC",
            "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 Mar 1, 2017; 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.