Organization Active NPI

East Side Pharmacy, Inc

  • Pharmacist
  • New York, NY
National Provider Identifier
1700928116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042818 Issued in NY
Legal business name
EAST SIDE PHARMACY, INC
Practice address
1751 2ND Ave
New York, NY 10128-5363
Phone
(212) 348-0406
Fax
(212) 348-5864
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Danny Carrero, RPHNPI 1053634352
Title
President
Phone
(212) 348-0406

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 042818 NY Primary

Addresses

Primary practice location

1751 2ND Ave
New York, NY 10128-5363

Mailing address

1751 2ND Ave
New York, NY 10128-5363
Phone (212) 348-0406

Other names 1

  • Eastview Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1751 2nd Ave
New York, NY 10128
Phone (212) 348-0406

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700928116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285363",
            "telephone_number": "212-348-0406",
            "fax_number": "212-348-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285363",
            "telephone_number": "212-348-0406",
            "fax_number": "212-348-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRERO",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-348-0406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.