Organization Active NPI

Alisons Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1710975198
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022271 Issued in NY
Legal business name
ALISONS PHARMACY INC
Doing business as
ALISONS PHARMACY INC
Practice address
12 Bowery
New York, NY 10013-5182
Phone
(212) 227-7065
Fax
(212) 227-0745
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Eddie Xin Huang
Title
President
Phone
(212) 227-7065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022271 NY Primary

Addresses

Primary practice location

12 Bowery
New York, NY 10013-5182

Mailing address

12 Bowery
New York, NY 10013-5182
Phone (212) 227-7065

Other identifiers 2

IdentifierTypeStateIssuer
2060114OtherPK
1528505MedicaidNY

Other names 1

  • ALISONS PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930068374 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1355544842 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
Alisons Pharmacy, Inc.12 Bowery, New York, NY 10013-5182(212) 227-7065 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|(TENS) Transcut… Does not accept assignmentParticipating since Jul 26, 2006

National Provider Directory

National Provider Directory

Locations

12 Bowery
New York, NY 10013
Phone (212) 227-7065

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": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1710975198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BOWERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135182",
            "telephone_number": "212-227-7065",
            "fax_number": "212-227-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOWERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135182",
            "telephone_number": "212-227-7065",
            "fax_number": "212-227-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "XIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-227-7065"
    },
    "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": "022271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060114",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALISONS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALISONS PHARMACY INC",
            "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 May 13, 2021; 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.