Active NPI
Ralph Place Pharmacy Inc.
Doing business as Ralph Place Pharmacy
- Community/Retail Pharmacy
- Staten Island, NY
National Provider Identifier
1629161054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021683
- Legal business name
- RALPH PLACE PHARMACY INC.
- Doing business as
- Ralph Place Pharmacy
- Practice address
- 11 Ralph PL
Ste 106
Staten Island, NY 10304-4401 - Phone
- (718) 720-9640
- Fax
- (718) 720-9649
- NPI assigned
- Sep 30, 2006
- 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
- Steven Blatt
- Title
- Pres
- Phone
- (718) 720-9640
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 021683 | NY | Primary |
Addresses
Primary practice location
11 Ralph PL
Ste 106
Staten Island, NY 10304-4401
Mailing address
PO Box 40710
Staten Island, NY 10304-0710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2059373 | Other | PK | |
| 01378087 | Medicaid | NY |
Other names 1
- RALPH PLACE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Ralph Place Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413849600000",
"number": "1629161054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40710",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103040710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RALPH PL",
"address_2": "STE 106",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044401",
"telephone_number": "718-720-9640",
"fax_number": "718-720-9649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALPH PLACE PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2014-10-21",
"status": "A",
"authorized_official_last_name": "BLATT",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "718-720-9640"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "021683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2059373",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01378087",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RALPH PLACE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.