Emblemhealth Services Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034425 Issued in NY

Legal business name

EMBLEMHEALTH SERVICES COMPANY

Doing business as

EmblemHealth Pharmacy

Practice address

52 Duane St
New York, NY 10007-1207

Phone

(646) 680-1180

Fax

(212) 406-2015

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Rodger Rosicki

Title

Director, Corporate Pharmacy Progra

Phone

(646) 447-1204

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EmblemHealth Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1881147924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5228",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875228",
            "telephone_number": "646-680-1180",
            "fax_number": "212-406-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 DUANE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071207",
            "telephone_number": "646-680-1180",
            "fax_number": "212-406-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBLEMHEALTH SERVICES COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ROSICKI",
        "authorized_official_first_name": "RODGER",
        "authorized_official_title_or_position": "DIRECTOR, CORPORATE PHARMACY PROGRA",
        "authorized_official_telephone_number": "646-447-1204"
    },
    "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": "034425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EmblemHealth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.