103 Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

034593 Issued in NY

Legal business name

103 PHARMACY INC

Doing business as

103 PHARMACY INC

Practice address

2002 2ND Ave
Store 1
New York, NY 10029-5445

Phone

(212) 410-4410

Fax

(212) 410-4414

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Nasir Mughal

Title

Owner

Phone

(212) 410-4410

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 103 PHARMACY INC Doing business as

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1902268162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 2ND AVE",
            "address_2": "STORE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295445",
            "telephone_number": "212-410-4410",
            "fax_number": "212-410-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 2ND AVE",
            "address_2": "STORE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295445",
            "telephone_number": "212-410-4410",
            "fax_number": "212-410-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "103 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "MUGHAL",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-410-4410"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034593",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "103 PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.