Organization Active NPI

Le-Mac Pharmacy Inc.

  • Community/Retail Pharmacy
  • Yonkers, NY
National Provider Identifier
1598827354
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LE-MAC PHARMACY INC.
Practice address
623 McLean Ave
Yonkers, NY 10705-4734
Phone
(914) 965-6100
Fax
(914) 965-6948
NPI assigned
Dec 15, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Mr. Anthony John Ciarletta, R.PH.NPI 1497806863
Title
President
Phone
(914) 779-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

623 McLean Ave
Yonkers, NY 10705-4734

Mailing address

623 McLean Ave
Yonkers, NY 10705-4734
Phone (914) 965-6100

Other identifiers 1

IdentifierTypeStateIssuer
01017927MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20100930095136 NY DME Supplier - Pharmacy 9335353309 Practice locations: Yonkers, NY
O20191113000211 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9335353309 Practice locations: Yonkers, NY
O20220802002001 NY Part B Supplier - Independent Clinical Laboratory 9335353309 Practice locations: Yonkers, NY
O20221003001358 NY Part B Supplier - Pharmacy 9335353309 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

623 McLean Ave
Yonkers, NY 10705
Phone (914) 965-6100

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1598827354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054734",
            "telephone_number": "914-965-6100",
            "fax_number": "914-965-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054734",
            "telephone_number": "914-965-6100",
            "fax_number": "914-965-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE-MAC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "CIARLETTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-779-5133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01017927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.