Organization Active NPI

Uptown Care Pharmacy LLC

Doing business as Uptown Care Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1841640653
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034563 Issued in NY
Legal business name
UPTOWN CARE PHARMACY LLC
Doing business as
Uptown Care Pharmacy
Practice address
2254 2ND Ave
New York, NY 10029-2268
Phone
(212) 221-8355
Fax
(917) 675-7703
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Miriam Ilyaich
Title
Pharmacist
Phone
(212) 221-8355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034563 NY Primary

Addresses

Primary practice location

2254 2ND Ave
New York, NY 10029-2268

Mailing address

2254 2ND Ave
New York, NY 10029-2268
Phone (212) 221-8355

Other identifiers 2

IdentifierTypeStateIssuer
2160647OtherPK
04552232MedicaidNY

Other names 1

  • Uptown Care 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
O20161118001342 NY DME Supplier - Pharmacy 6305125105 Practice locations: New York, NY
O20210421002448 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6305125105 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
Uptown Care Pharmacy LLC2254 2ND Ave, New York, NY 10029-2268(212) 221-8355 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 22, 2016

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1841640653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292268",
            "telephone_number": "212-221-8355",
            "fax_number": "917-675-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292268",
            "telephone_number": "212-221-8355",
            "fax_number": "917-675-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "ILYAICH",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-221-8355"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04552232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Care 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 Apr 17, 2017; 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.