NPIMap

Organization Active NPI

SMP Pharmacy Corporation

  • Pharmacy
  • Ozone Park, NY
National Provider Identifier
1699857763
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
016761 Issued in NY
Legal business name
SMP PHARMACY CORPORATION
Practice address
93 20 Liberty Avenue
Ozone Park, NY 11417
Phone
(718) 641-5648
Fax
(718) 835-2064
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Mr. Madhusudan I Patni, RPHNPI 1942221643
Title
Owner Supervising Pharmacist
Phone
(718) 641-5648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 016761 NY Primary

Addresses

Primary practice location

93 20 Liberty Avenue
Ozone Park, NY 11417

Mailing address

93 20 Liberty Avenue
Ozone Park, NY 11417
Phone (718) 641-5648

Other identifiers 2

IdentifierTypeStateIssuer
00455601MedicaidNY
016761OtherNY LIC#

Other names 1

  • Kalish Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1699857763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 20 LIBERTY AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11417",
            "telephone_number": "718-641-5648",
            "fax_number": "718-835-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 20 LIBERTY AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11417",
            "telephone_number": "718-641-5648",
            "fax_number": "718-835-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMP PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "PATNI",
        "authorized_official_first_name": "MADHUSUDAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-641-5648",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "016761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00455601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LIC#",
            "identifier": "016761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalish Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.