82ND Corner LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

82ND CORNER LLC

Doing business as

Park West Pharmacy

Practice address

461 Columbus Ave
New York, NY 10024-5107

Phone

(212) 721-3883

Fax

(212) 721-5660

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Meyer Davidoff, PHARMD, RPH

Title

Senior Director

Phone

(212) 380-6866

Specialties & licenses 4

Addresses

Other names 2

• Park West Pharmacy Doing business as
• Invictus Pharmacy Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jannatul J Arshad

  • Pharmacist
  • New York, NY
  • NPI 1366310054
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1720687023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623305",
            "telephone_number": "201-880-7000",
            "fax_number": "201-880-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245107",
            "telephone_number": "212-721-3883",
            "fax_number": "212-721-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "82ND CORNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "MEYER",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "212-380-6866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Invictus Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.