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Memorial Sloan Kettering Cancer Center

Organization Active NPI Community/Retail Pharmacy · West Harrison, NY

NPI 1629470976 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1629470976
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
033019 (NY)
Legal business name
MEMORIAL SLOAN KETTERING CANCER CENTER
Practice address
500 Westchester Ave
Room 2204
West Harrison, NY 10604-3200
Phone
(914) 367-7016
NPI assigned
Sep 18, 2014
Organization subpart
Yes
Parent organization (as reported)
MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES

Authorized official

Name
Susan Murillo
Title
Pharmacy Manager
Phone
(212) 639-2206

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 20

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Memorial Sloan Kettering Cancer Cen
500 Westchester Avenue, West Harrison, NY 10604-3200 · (914) 367-7016		 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Jun 1, 1999

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160629001561 NY DME Supplier - Pharmacy 9931304375 Practice locations: West Harrison, NY
O20220502000985 NY Part B Supplier - Pharmacy 9931304375 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Commack, NY; Long Island City, NY; New York, NY; West Harrison, NY

National Provider Directory

Tax ID family
Memorial Sloan Kettering Cancer Center (21 organizations share this tax ID)
Part of
Memorial Sloan Kettering Cancer Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 033019 NY Yes
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

500 Westchester Ave
Room 2204
West Harrison, NY 10604-3200

Mailing address

1275 York Ave RM H-313
New York, NY 10065-6007
Phone (212) 639-2206

Other names

  • Memorial Hospital OPD At Harrison Doing business as

Other providers in West Harrison, NY

All providers in West Harrison, NY · Community/Retail Pharmacy in New York

Sources for this page

Verify at the official NPI Registry.