Organization Active NPI

32 Proctor Pharmacy Inc.

Doing business as Proctor Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, NY
National Provider Identifier
1609158450
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03396527MedicaidNY

Other names 1

  • PROCTOR PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.