Organization Active NPI

Boutique LTC Drugs Inc

  • Community/Retail Pharmacy
  • Mount Vernon, NY
National Provider Identifier
1902270838
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034259 Issued in NY
Legal business name
BOUTIQUE LTC DRUGS INC
Doing business as
MedsPlus Pharmacy Surgical Supply
Practice address
531 Gramatan Ave
Mount Vernon, NY 10552-2103
Phone
(914) 664-6600
Fax
(914) 664-6601
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Chintan Patel, RPHNPI 1720319007
Title
President / Owner / Pic
Phone
(347) 232-7688

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
Community/Retail Pharmacy 3336C0003X 034259 NY Primary

Addresses

Primary practice location

531 Gramatan Ave
Mount Vernon, NY 10552-2103

Mailing address

531 Gramatan Ave
Mount Vernon, NY 10552
Phone (914) 664-6600

Other identifiers 3

IdentifierTypeStateIssuer
APPLIEDAWAITINGMedicaidNY
2155447OtherPK
034259MedicaidNY

Other names 1

  • MedsPlus Pharmacy Surgical Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160804002495 NY DME Supplier - Pharmacy 4385938935 Practice locations: Mount Vernon, NY
O20161121000611 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4385938935 Practice locations: Mount Vernon, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medsplus Pharmacy +Surgical Supply531 Gramatan Ave, Mount Vernon, NY 10552-2103(914) 664-6600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches Does not accept assignmentParticipating since May 19, 2016

National Provider Directory

National Provider Directory

Locations

531 Gramatan Ave
Mount Vernon, NY 10552
Phone (914) 664-6600

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": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1902270838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 GRAMATAN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "914-664-6600",
            "fax_number": "914-664-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 GRAMATAN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522103",
            "telephone_number": "914-664-6600",
            "fax_number": "914-664-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTIQUE LTC DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHINTAN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER / PIC",
        "authorized_official_telephone_number": "347-232-7688",
        "authorized_official_credential": "RPH"
    },
    "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": "034259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIEDAWAITING",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedsPlus Pharmacy Surgical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.