Organization Active NPI

Pharma Care Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1831332022
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029301 Issued in NY
Legal business name
PHARMA CARE INC
Practice address
2454 Adam Clayton Powell Jr Blvd
New York, NY 10030-1603
Phone
(212) 862-0505
Fax
(212) 862-0506
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Himanshu Arvindlal Shah
Title
Supervising Pharmacist / Manager
Phone
(212) 862-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029301 NY Primary

Addresses

Primary practice location

2454 Adam Clayton Powell Jr Blvd
New York, NY 10030-1603

Mailing address

2454 Adam Clayton Powell Jr Blvd
New York, NY 10030-1603
Phone (212) 862-0505

Other identifiers 2

IdentifierTypeStateIssuer
3360738OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3111433MedicaidNY

Other names 1

  • Seventh Avenue Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930012026 NY DME Supplier - Pharmacy 6406047752 Practice locations: New York, NY
O20220919002874 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6406047752 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
Seventh Avenue Pharmacy2454 Adam Clayton Powell Jr Blvd, New York, NY 10030-1603(212) 862-0505 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 20, 2010

National Provider Directory

National Provider Directory

Locations

2454 Adam Clayton Powell Jr Blvd
New York, NY 10030
Phone (212) 862-0505

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1831332022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301603",
            "telephone_number": "212-862-0505",
            "fax_number": "212-862-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301603",
            "telephone_number": "212-862-0505",
            "fax_number": "212-862-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_middle_name": "ARVINDLAL",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST / MANAGER",
        "authorized_official_telephone_number": "212-862-0505"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3360738",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seventh Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seventh Avenue Pharmacy",
            "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 Oct 2, 2020; 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.