Organization Active NPI

M & D Pharmacy LLC

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1902044670
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029773 Issued in NY
Legal business name
M & D PHARMACY LLC
Practice address
17 W 125TH St
New York, NY 10027-4513
Phone
(212) 831-0200
Fax
(212) 831-0230
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Atulkumar Patel
Title
Pharmacist
Phone
(212) 831-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029773 NY Primary

Addresses

Primary practice location

17 W 125TH St
New York, NY 10027-4513

Mailing address

17 W 125TH St
New York, NY 10027-4513
Phone (212) 831-0200

Other identifiers 2

IdentifierTypeStateIssuer
3125739MedicaidNY
3364534OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Harlem Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

17 W 125th St
New York, NY 10027
Phone (212) 831-0200

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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1902044670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274513",
            "telephone_number": "212-831-0200",
            "fax_number": "212-831-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274513",
            "telephone_number": "212-831-0200",
            "fax_number": "212-831-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & D PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ATULKUMAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-831-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3125739",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3364534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlem 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, 2012; 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.