Active NPI
32 Proctor Pharmacy Inc.
Doing business as Proctor Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, NY
National Provider Identifier
1609158450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- 32 PROCTOR PHARMACY INC.
- Doing business as
- Proctor Pharmacy
- Practice address
- 32 Gramatan Ave
Mt Vernon, NY 11550 - Phone
- (914) 668-1488
- Fax
- (914) 668-8722
- NPI assigned
- Sep 16, 2011
- Last updated
- Aug 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muhammad S Anwar
- Title
- President
- Phone
- (201) 563-6423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
32 Gramatan Ave
Mt Vernon, NY 11550
Mailing address
32 Grammatan Ave
Mt Vernon, NY 10550
Phone (914) 668-1488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03396527 | Medicaid | NY |
Other names 1
- PROCTOR PHARMACY
National Provider Directory
National Provider DirectoryLocations
32 Gramatan Ave
Mount Vernon, NY 10550
Phone (201) 983-3002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1609158450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 GRAMMATAN AVE",
"city": "MT VERNON",
"state": "NY",
"postal_code": "10550",
"telephone_number": "914-668-1488",
"fax_number": "914-668-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 GRAMATAN AVE",
"city": "MT VERNON",
"state": "NY",
"postal_code": "11550",
"telephone_number": "914-668-1488",
"fax_number": "914-668-8722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "32 PROCTOR PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-16",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "ANWAR",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-563-6423"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03396527",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PROCTOR PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.