Pill Cloud Specialty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PILL CLOUD SPECIALTY PHARMACY INC

Practice address

6010 Queens Blvd
Woodside, NY 11377-4973

Phone

(212) 460-9090

Fax

(212) 202-4900

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Egal Tsadyk

Title

President

Phone

(212) 460-9090

Specialties & licenses 1

Addresses

Other names 1

• PILL CLOUD RX Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Locations

Practitioners 1

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

• James Kim

  • Pharmacist
  • Woodside, NY
  • NPI 1861262180
  NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1740943000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774973",
            "telephone_number": "212-460-9090",
            "fax_number": "212-202-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774973",
            "telephone_number": "212-460-9090",
            "fax_number": "212-202-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL CLOUD SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "TSADYK",
        "authorized_official_first_name": "EGAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-460-9090"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILL CLOUD RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PILL CLOUD RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuong Phan
• Didier Philoctete, LMSW
• Ngodup Phuntsok, NP
• Anna Elizabeth Pickens
• Ann Piercy Jones
• Stephanie Pimentel
• Darilynn Pineda
• Francielle Elise Santiago Pineda, MPA, MS, OTR/L
• Yasmin Pinhasov-Malaev
• Melanie Rebecca Pinkhas

• Community/Retail Pharmacy in Woodside, NY
• Providers in Woodside, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.