Organization Active NPI

Catalpa Chemists Corp

  • Community/Retail Pharmacy
  • Ridgewood, NY
National Provider Identifier
1780047308
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034438 Issued in NY
Legal business name
CATALPA CHEMISTS CORP
Doing business as
Catalpa Chemists Corp
Practice address
5701 Catalpa Ave
Ridgewood, NY 11385-4902
Phone
(718) 366-3871
Fax
(718) 366-3905
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Gavriel NormatovNPI 1144542424
Title
Pharmacist
Phone
(718) 366-3871

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034438 NY Primary

Addresses

Primary practice location

5701 Catalpa Ave
Ridgewood, NY 11385-4902

Mailing address

5701 Catalpa Ave
Ridgewood, NY 11385-4902
Phone (718) 366-3871

Other identifiers 1

IdentifierTypeStateIssuer
2159346OtherPK

Other names 1

  • Catalpa Chemists Corp Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160930000891 NY DME Supplier - Pharmacy 0941597249 Practice locations: Ridgewood, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1780047308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CATALPA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854902",
            "telephone_number": "718-366-3871",
            "fax_number": "718-366-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CATALPA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854902",
            "telephone_number": "718-366-3871",
            "fax_number": "718-366-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALPA CHEMISTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "NORMATOV",
        "authorized_official_first_name": "GAVRIEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-366-3871"
    },
    "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": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalpa Chemists Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.