Active NPI
Escript360 Nyc LLC
- Community/Retail Pharmacy
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ESCRIPT360 NYC LLC
- Practice address
- 1299 1St Ave
New York, NY 10021-5503 - Phone
- (212) 535-1700
- Fax
- (212) 535-1722
- NPI assigned
- Jan 25, 2023
- 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
- Yuriy Davydov
- Title
- Member
- Phone
- (646) 633-2170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1299 1St Ave
New York, NY 10021-5503
Mailing address
5 Penny Pond CT
Greenvale, NY 11548-1400
Phone (646) 633-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040116 | Other | NY | PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230412000589 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709251424 | Practice locations: New York, NY |
| O20230616001897 | NY | DME Supplier - Pharmacy | 6709251424 | Practice locations: New York, NY |
| O20251230002012 | NY | Part B Supplier - Pharmacy | 6709251424 | Practice locations: New York, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Escript360 Nyc LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1299 1st Ave
New York, NY 10021
Phone (212) 535-1700
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- New York, NY
- NPI 1184990632
-
- Pharmacist
- New York, NY
- NPI 1972819522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1639885460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PENNY POND CT",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481400",
"telephone_number": "646-633-2170",
"fax_number": "516-492-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215503",
"telephone_number": "212-535-1700",
"fax_number": "212-535-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESCRIPT360 NYC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-25",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A",
"authorized_official_last_name": "DAVYDOV",
"authorized_official_first_name": "YURIY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "646-633-2170"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "040116",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.