731 Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021082 Issued in NY

Legal business name

731 PHARMACY CORP

Practice address

691 Columbus Ave
New York, NY 10025-7002

Phone

(212) 222-4400

Fax

(212) 222-4428

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Ivan JourdainNPI 1831647775

Title

Owner/Sup RPH

Phone

(212) 222-4400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• IVAN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan F Jourdain, PHARMACIST

  • Pharmacist
  • New York, NY
  • NPI 1831647775
  NPD Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1902847858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257002",
            "telephone_number": "212-222-4400",
            "fax_number": "212-222-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257002",
            "telephone_number": "212-222-4400",
            "fax_number": "212-222-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "731 PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "JOURDAIN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER/SUP RPH",
        "authorized_official_telephone_number": "212-222-4400"
    },
    "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": "021082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281254",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 22, 2016; 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.