Charlie Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032009 Issued in NY

Legal business name

CHARLIE PHARMACY INC

Practice address

2034 2ND Ave
New York, NY 10029-5193

Phone

(646) 598-7028

Fax

(646) 478-7403

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Amjid S Mughal

Title

Owner

Phone

(347) 634-4473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1902248701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295193",
            "telephone_number": "646-596-7028",
            "fax_number": "646-478-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295193",
            "telephone_number": "646-598-7028",
            "fax_number": "646-478-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "MUGHAL",
        "authorized_official_first_name": "AMJID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-634-4473",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheris Charles
• Simone Charles, NURSE PRACTITIONER
• Stanley Charles, RN B.S.N
• Stephanie Charles
• Dorothy Charlesworth, LCSW
• Lauren Charlip, LMSW
• Jasmine Charlon, APN
• Diana Charlop
• Rebecca Charlop, O.D
• Barbara Charlot

• 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 Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.