Lemed Pharmacy III LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026863 Issued in NY

Legal business name

LEMED PHARMACY III LLC

Practice address

2417 3Rd Ave Ste 406
Bronx, NY 10451-6340

Phone

(347) 913-4656

Fax

(718) 231-2727

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Shaleen Patel

Title

Ceo

Phone

(347) 913-4656

Specialties & licenses 6

Addresses

Other identifiers 10

Other names 1

• LEMED PHARMACY III LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Lemed Pharmacy III LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lemed Pharmacy III LLC

  • Specialty Pharmacy
  • Bronx, NY
  • NPI 1023617057
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lemed Pharmacy III LLC

  • Specialty Pharmacy
  • Bronx, NY
  • NPI 1023617057
  NPPES parent name

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1629004353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 3RD AVE STE 406",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104516340",
            "telephone_number": "347-913-4656",
            "fax_number": "718-231-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 3RD AVE STE 406",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104516340",
            "telephone_number": "347-913-4656",
            "fax_number": "718-231-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMED PHARMACY III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHALEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-913-4656"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RO00160000",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026863",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "NP000957",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCN.0003317",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409884",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300039510",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPROVED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581813",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6705116",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000185827",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103767935-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250010607",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651077900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEMED PHARMACY III LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEMED PHARMACY III LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Amarachukwu Lekweuwa, NURSE PRACTITIONER
• Michael Lem, MD
• Aurora Lema
• Lori A Lemberg, M.D.
• Lemed Pharmacy III LLC
• Kaylin Marie Lemelle-Thomas, NP
• Heather Lemon-Mule, MD
• Shellyanne Lemon, LPN
• Gilah Lempel, O.T.R/L
• Robin Lempel

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 Dec 1, 2020; 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.