Organization Active NPI

Eckerson Drugs Inc

  • Community/Retail Pharmacy
  • Spring Valley, NY
National Provider Identifier
1649531963
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031396 Issued in NY
Legal business name
ECKERSON DRUGS INC
Practice address
287 N Main St
Spring Valley, NY 10977-2914
Phone
(845) 352-1800
Fax
(845) 352-8645
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Ashish Amin, BS PHARMACYNPI 1952518870
Title
Owner/Supervising Pharmacist
Phone
(845) 352-1800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031396 NY Primary

Addresses

Primary practice location

287 N Main St
Spring Valley, NY 10977-2914

Mailing address

275 N Main St
Unit 12/287
Spring Valley, NY 10977-2915
Phone (845) 352-1800

Other identifiers 2

IdentifierTypeStateIssuer
2136510OtherPK
03468797MedicaidNY

Other names 1

  • Eckerson Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121025000352 NY DME Supplier - Pharmacy 3779733811 Practice locations: Spring Valley, NY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Eckerson Drugs287 N Main St, Spring Valley, NY 10977-2914(845) 352-1800 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 7, 2012

National Provider Directory

National Provider Directory

Locations

287 N Main St
Spring Valley, NY 10977
Phone (845) 352-1800

275 N Main St
Unit 12287
Spring Valley, NY 10977

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1649531963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N MAIN ST",
            "address_2": "UNIT 12/287",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772915",
            "telephone_number": "845-352-1800",
            "fax_number": "845-352-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772914",
            "telephone_number": "845-352-1800",
            "fax_number": "845-352-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERSON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "845-352-1800",
        "authorized_official_credential": "BS PHARMACY"
    },
    "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": "031396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136510",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03468797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eckerson Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.

Verify at the official NPI Registry.