Organization Active NPI

West Side Family Pharmacy, Inc

  • Pharmacist
  • New York, NY
National Provider Identifier
1831101732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024479 Issued in NY
Legal business name
WEST SIDE FAMILY PHARMACY, INC
Practice address
592 Amsterdam Ave
New York, NY 10024-2341
Phone
(212) 712-0818
Fax
(212) 712-0918
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marialisa Ligammari
Title
Sec
Phone
(212) 712-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 024479 NY Primary

Addresses

Primary practice location

592 Amsterdam Ave
New York, NY 10024-2341

Mailing address

592 Amsterdam Ave
New York, NY 10024-2341
Phone (212) 712-0818

Other identifiers 1

IdentifierTypeStateIssuer
01994738MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831101732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242341",
            "telephone_number": "212-712-0818",
            "fax_number": "212-712-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242341",
            "telephone_number": "212-712-0818",
            "fax_number": "212-712-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE FAMILY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIGAMMARI",
        "authorized_official_first_name": "MARIALISA",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "212-712-0818"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01994738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.