Active NPI
Keanes Family Pharmacy Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1699136986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 034334
- Legal business name
- KEANES FAMILY PHARMACY INC
- Practice address
- 586 Lenox Ave
New York, NY 10037-1201 - Phone
- (212) 368-3777
- NPI assigned
- Mar 14, 2016
- 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
- Nagi Reddy Pallapolu
- Title
- President
- Phone
- (212) 368-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 034334 | NY | Primary |
Addresses
Primary practice location
586 Lenox Ave
New York, NY 10037-1201
Mailing address
586 Lenox Ave
New York, NY 10037-1201
Phone (212) 368-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034334 | Other | NY | NEW YORK STATE BOARD OF PHARMACY |
National Provider Directory
National Provider DirectoryLocations
586 Lenox Ave
New York, NY 10037
Phone (212) 368-3777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1295035418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457913600000",
"number": "1699136986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 LENOX AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371201",
"telephone_number": "212-368-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 LENOX AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371201",
"telephone_number": "212-368-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEANES FAMILY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A",
"authorized_official_last_name": "PALLAPOLU",
"authorized_official_first_name": "NAGI REDDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-368-3777"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "034334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE BOARD OF PHARMACY",
"identifier": "034334",
"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 14, 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.