Organization Active NPI

Harlem Corner Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1689115198
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035341 Issued in NY
Legal business name
HARLEM CORNER PHARMACY INC
Practice address
2240 3Rd Ave
New York, NY 10035-2904
Phone
(212) 360-1757
Fax
(917) 675-7055
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Lynn Youn
Title
Manager
Phone
(212) 360-1757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035341 NY Primary

Addresses

Primary practice location

2240 3Rd Ave
New York, NY 10035-2904

Mailing address

2240 3Rd Ave
New York, NY 10035-2904
Phone (212) 360-1757

Other identifiers 1

IdentifierTypeStateIssuer
2168434OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171106000422 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Pedorthic Personnel 0345506507 Practice locations: New York, NY
O20250321003168 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0345506507 Practice locations: New York, 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
Harlem Corner Pharmacy Inc2240 3Rd Ave, New York, NY 10035-2904(212) 360-1757 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs… Does not accept assignmentParticipating since Sep 14, 2017

National Provider Directory

National Provider Directory

Locations

2240 3rd Ave
New York, NY 10035
Phone (212) 360-1757

Practitioners & affiliated clinicians

Practitioners 2

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": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1689115198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352904",
            "telephone_number": "212-360-1757",
            "fax_number": "917-675-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352904",
            "telephone_number": "212-360-1757",
            "fax_number": "917-675-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM CORNER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "YOUN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-360-1757"
    },
    "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": "035341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168434",
            "state": null
        }
    ],
    "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 28, 2017; 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.