Organization Active NPI

Twin Pharmacy 2 Corp

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1801280037
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033408 Issued in NY
Legal business name
TWIN PHARMACY 2 CORP
Practice address
4073-4075 Broadway Av
New York, NY 10032
Phone
(212) 927-3100
Fax
(212) 927-3109
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Cristobal Olivo
Title
BS
Phone
(212) 927-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033408 NY Primary

Addresses

Primary practice location

4073-4075 Broadway Av
New York, NY 10032

Mailing address

4073-4075 Broadway Av
New York, NY 10032
Phone (212) 927-3100

Other identifiers 1

IdentifierTypeStateIssuer
2151059OtherPK

Other names 1

  • Twins Pharmacy 2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161215001164 NY DME Supplier - Pharmacy 4789964461 Practice locations: New York, NY
O20230721002320 NY Part B Supplier - Pharmacy 4789964461 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Twin Pharmacy 2 Corp4073-4075 Broadway, New York, NY 10032-1511(212) 927-3100 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 29, 2016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1801280037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073-4075 BROADWAY AV",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-927-3100",
            "fax_number": "212-927-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073-4075 BROADWAY AV",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-927-3100",
            "fax_number": "212-927-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PHARMACY 2 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "OLIVO",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_title_or_position": "BS",
        "authorized_official_telephone_number": "212-927-3100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twins Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.