Organization Active NPI

Icahn School of Medicine at Mount Sinai

Doing business as Icahn School of Medicine Pharmacy

  • Specialty Pharmacy
  • New York, NY
National Provider Identifier
1629410816
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Doing business as
Icahn School of Medicine Pharmacy
Practice address
1468 Madison Ave
Annenberg - MC Level
New York, NY 10029-6508
Phone
(212) 241-7720
Fax
(212) 241-3474
NPI assigned
Jul 29, 2013
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Mr. Michael Schaffer
Title
Vice President
Phone
(212) 241-4093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032153 NY
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

1468 Madison Ave
Annenberg - MC Level
New York, NY 10029-6508

Mailing address

1468 Madison Ave Box 1211
Annenberg - MC Level
New York, NY 10029-6508
Phone (212) 241-7720

Other names 1

  • Icahn School of Medicine Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member organizations 10

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 39)

433 Hackensack Ave
Fl Second
Hackensack, NJ 07601
Phone (201) 343-1717

349 E Northfield Rd
Ste 120
Livingston, NJ 07039
Phone (973) 758-1078

255 3rd Ave
Ste 1
Long Branch, NJ 07740
Phone (732) 923-6060

1048 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 421-2300

1599 E 15th St
Brooklyn, NY 11230
Phone (718) 676-1743

9920 4th Ave
Brooklyn, NY 11209
Phone (718) 238-9873

380 Merrick Ave
East Meadow, NY 11554
Phone (516) 279-6210

7901 Broadway
Fl 7
Elmhurst, NY 11373
Phone (718) 334-3930

19603 42nd Ave
Flushing, NY 11358
Phone (718) 281-2001

3147 77th St
Flushing, NY 11370
Phone (718) 429-4444

775 Park Ave
Ste 115
Huntington, NY 11743
Phone (631) 659-4150

3743 91st St
Jackson Heights, NY 11372
Phone (718) 565-5554

14305 Hillside Ave
Jamaica, NY 11435
Phone (718) 206-0440

4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667

105 Stevens Ave
Ste 208
Mount Vernon, NY 10550
Phone (914) 699-7645

1176 5th Ave
#1135
New York, NY 10029
Phone (212) 241-6381

1176 5th Ave
#7
New York, NY 10029

1176 5th Ave
Fl 3
New York, NY 10029
Phone (212) 241-5517

1176 5th Ave
Fl 7
New York, NY 10029

1176 5th Ave
Fl 8
New York, NY 10029

1184 5th Ave
#1235
New York, NY 10029
Phone (212) 241-6381

1184 5th Ave
#2
New York, NY 10029
Phone (212) 241-3055

1184 5th Ave
Fl 4
New York, NY 10029

1184 5th Ave
Unit 7TH
New York, NY 10029

1190 5th Ave
#3
New York, NY 10029

Practitioners & affiliated clinicians

Practitioners 306

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 306

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1629410816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE BOX 1211",
            "address_2": "ANNENBERG - MC LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-7720",
            "fax_number": "212-241-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "address_2": "ANNENBERG - MC LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-7720",
            "fax_number": "212-241-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "212-241-4093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032153",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icahn School of Medicine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Icahn School of Medicine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.