Organization Active NPI

Nycdohmh Bureau of Public Health Labs

  • Clinic Pharmacy
  • New York, NY
National Provider Identifier
1841468840
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
019233 Issued in NY
Legal business name
NYCDOHMH BUREAU OF PUBLIC HEALTH LABS
Practice address
455 First Avenue RM 147
Nycdohmh Bureau of Public Health Labs Pharmacy Departme
New York, NY 10016-9102
Phone
(212) 447-2209
Fax
(212) 447-2889
NPI assigned
Feb 13, 2008
Organization subpart
Yes
Parent organization
NEW YORK CITY DEPARTMENT OF HEALTH & MENTAL HYGIENEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. Michael James Smook, MPA
Title
Administrative Manager Third Party
Phone
(212) 442-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 019233 NY Primary

Addresses

Primary practice location

455 First Avenue RM 147
Nycdohmh Bureau of Public Health Labs Pharmacy Departme
New York, NY 10016-9102

Mailing address

125 Worth Street Box 22 RM 901
Nycdohmh Division of Disease Control Third Party Revenu
New York, NY 10013-4006
Phone (212) 442-8468

Other identifiers 1

IdentifierTypeStateIssuer
337117OtherNATIONAL COUNCIL FOR PRES

Other names 1

  • NYCDOHMH Bureau of PHL Pharmacy Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Rochelle Cherry46 organizations share this tax ID, including this one
Part of
Rochelle Cherry

Other organizations with this tax ID 45

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

View all 45

Locations

455 1st Ave
Rm 147
New York, NY 10016
Phone (212) 447-2209

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1841468840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WORTH STREET BOX 22 RM 901",
            "address_2": "NYCDOHMH DIVISION OF DISEASE CONTROL THIRD PARTY REVENU",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134006",
            "telephone_number": "212-442-8468",
            "fax_number": "212-442-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 FIRST AVENUE RM 147",
            "address_2": "NYCDOHMH BUREAU OF PUBLIC HEALTH LABS PHARMACY DEPARTME",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169102",
            "telephone_number": "212-447-2209",
            "fax_number": "212-447-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCDOHMH BUREAU OF PUBLIC HEALTH LABS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK CITY DEPARTMENT OF HEALTH & MENTAL HYGIENE",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMOOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER THIRD PARTY",
        "authorized_official_telephone_number": "212-442-8468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "019233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COUNCIL FOR PRES",
            "identifier": "337117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYCDOHMH Bureau of PHL Pharmacy Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 13, 2008; 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.