31St & 3Rd Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

31ST & 3RD PHARMACY INC

Practice address

307 W 38TH St Ste 5-013
New York, NY 10018-2913

Phone

(212) 380-1840

NPI assigned

Nov 22, 2021

Organization subpart

Yes

Parent organization

31ST & 3RD PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Ryan Boyle

Title

Regulatory Counsel

Phone

(225) 236-1538

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• 31St & 3Rd Pharmacy Inc

  • Specialty Pharmacy
  • Melville, NY
  • NPI 1881609428

  2365643723

  Same PAC ID

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

Tax ID family

31St 3Rd Pharmacy Inc3 organizations share this tax ID, including this one

Part of

31St 3Rd Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• 31St & 3Rd Pharmacy Inc

  • Specialty Pharmacy
  • Melville, NY
  • NPI 1780134833
  NPD tax ID
• 31St & 3Rd Pharmacy Inc

  • Specialty Pharmacy
  • Melville, NY
  • NPI 1881609428
  NPD tax ID

Locations

Practitioners 1

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

• Gavin Zhang, PHARM.D

  • Pharmacist
  • New York, NY
  • NPI 1558779991
  NPD

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1760149975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164015",
            "telephone_number": "225-236-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W 38TH ST STE 5-013",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182913",
            "telephone_number": "212-380-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "31ST & 3RD PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "31ST & 3RD PHARMACY INC",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "REGULATORY COUNSEL",
        "authorized_official_telephone_number": "225-236-1538"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 3, 2023; 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.