St Theresa Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST THERESA PHARMACY CORP

Doing business as

St Teresa Pharmacy

Practice address

3849 10TH Avenue
New York, NY 10034

Phone

(646) 413-5795

NPI assigned

Sep 14, 2011

Last updated

Oct 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Ovalles

Title

President

Phone

(646) 413-5795

Specialties & licenses 1

Addresses

Other names 1

• ST TERESA PHARMACY Doing business as

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1619259793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BUSH ST APT 4F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534306",
            "telephone_number": "646-413-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 10TH AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "646-413-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THERESA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "OVALLES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-413-5795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST TERESA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cindy St Price, APRN
• Marie Alberte St Surin
• St Vincent Catholic Medical Centers (Medical Associates Group)
• St Vincent Catholic Medical Centers (Catholic)
• St Vincent Psychiatric Associates
• St Vincent's Hospital
• St Vincent's Urology

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.