NPIMap

Organization Active NPI

Woodrow Pharmacy LTD

  • Community/Retail Pharmacy
  • Staten Island, NY
National Provider Identifier
1730178526
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021500 Issued in NY
Legal business name
WOODROW PHARMACY LTD
Doing business as
Woodrow Pharmacy LTD
Practice address
645 Rossville Ave
Staten Island, NY 10309-1752
Phone
(718) 967-2955
Fax
(718) 967-2978
NPI assigned
Oct 14, 2005
Last updated
Apr 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Allen HeitNPI 1114259603
Title
President and Owner
Phone
(718) 967-2955

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 021500 NY Primary

Addresses

Primary practice location

645 Rossville Ave
Staten Island, NY 10309-1752

Mailing address

645 Rossville Ave
Staten Island, NY 10309-1752
Phone (718) 967-2955

Other identifiers 2

IdentifierTypeStateIssuer
01496400MedicaidNY
3327245OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WOODROW PHARMACY LTD Doing business as

National Provider Directory

National Provider Directory

Locations

645 Rossville Ave
Staten Island, NY 10309
Phone (718) 967-2955

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1730178526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ROSSVILLE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091752",
            "telephone_number": "718-967-2955",
            "fax_number": "718-967-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ROSSVILLE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091752",
            "telephone_number": "718-967-2955",
            "fax_number": "718-967-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODROW PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "HEIT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "718-967-2955"
    },
    "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": "021500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496400",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3327245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODROW PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.