STM Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034771 Issued in NY

Legal business name

STM DRUG CORP

Practice address

3705 83Rd St
Jackson Heights, NY 11372-7141

Phone

(718) 803-3330

Fax

(718) 803-3320

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Carmen Genao

Title

President

Phone

(917) 609-8155

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Michael's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1669929170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 83RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727141",
            "telephone_number": "718-803-3330",
            "fax_number": "718-803-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 83RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727141",
            "telephone_number": "718-803-3330",
            "fax_number": "718-803-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STM DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "GENAO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-609-8155"
    },
    "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": "034771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Michael's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stat Medical Care
• Station Pharmacy, Inc
• Heather Steadman
• Stephanie Carter-Robin DPM PC
• Steffy Stephen
• Barbara Ellis Suarez
• David Suen, PHARMD
• Darapa Donna Sukboonlue, MSPT
• Claire Sullivan
• Sulochana Gurung DDS PLLC

• All providers in Jackson Heights, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.