Organization Active NPI

Rangel Pharmacy Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1902268840
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
034341 Issued in NY
Legal business name
RANGEL PHARMACY INC
Practice address
159 12 Harlem River Dr
New York, NY 10039
Phone
(212) 283-7200
Fax
(212) 283-1552
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Sreenivasa GadeNPI 1700060423
Title
President
Phone
(212) 283-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 034341 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

159 12 Harlem River Dr
New York, NY 10039

Mailing address

159 12 Harlem River Dr
New York, NY 10039
Phone (212) 283-7200

Other identifiers 1

IdentifierTypeStateIssuer
2158984OtherPK

Other names 1

  • rangel pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

159-12 Harlem River Dr
New York, NY 10039
Phone (212) 283-7200

Practitioners & affiliated clinicians

Practitioners 3

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": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1902268840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 12 HARLEM RIVER DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10039",
            "telephone_number": "212-283-7200",
            "fax_number": "212-283-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 12 HARLEM RIVER DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10039",
            "telephone_number": "212-283-7200",
            "fax_number": "212-283-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "GADE",
        "authorized_official_first_name": "SREENIVASA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-283-7200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034341",
            "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": "2158984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rangel pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "rangel 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 Jan 22, 2021; 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.