NPIMap

Organization Active NPI

Drugtown

  • Pharmacy
  • Glendale, NY
National Provider Identifier
1669797825
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
16843 Issued in NY
Legal business name
DRUGTOWN
Practice address
6416 Myrtle Ave
Glendale, NY 11385-6216
Phone
(718) 381-3014
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Harold Allen Clements
Title
Pharmacist
Phone
(718) 381-3014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 16843 NY Primary

Addresses

Primary practice location

6416 Myrtle Ave
Glendale, NY 11385-6216

Mailing address

64-16 Myrtle Avenue
Glendale, NY 11385

Other identifiers 1

IdentifierTypeStateIssuer
00486517MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Drugtown2 organizations share this tax ID, including this one

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": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1669797825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-16 MYRTLE AVENUE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856216",
            "telephone_number": "718-381-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUGTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-381-3014"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "16843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00486517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.