Organization Active NPI

Keanes Family Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1699136986
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034334 Issued in NY
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

Updated by the provider on Mar 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
034334OtherNYNEW YORK STATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.