NPIMap

Organization Active NPI

Mediexpress Pharmacy Corp

Doing business as Mediexpress

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1912019928
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027286 Issued in NY
Legal business name
MEDIEXPRESS PHARMACY CORP
Doing business as
Mediexpress
Practice address
78 Clinton St
New York, NY 10002-3487
Phone
(212) 388-9886
Fax
(212) 388-1228
NPI assigned
Aug 31, 2006
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Lai KwanNPI 1316170087
Title
Pharmacist
Phone
(212) 388-9886

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 027286 NY Primary

Addresses

Primary practice location

78 Clinton St
New York, NY 10002-3487

Mailing address

78 Clinton St
New York, NY 10002-3487
Phone (212) 388-9886

Other identifiers 2

IdentifierTypeStateIssuer
2064046OtherPK
02693254MedicaidNY

Other names 1

  • MEDIEXPRESS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1912019928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CLINTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023487",
            "telephone_number": "212-388-9886",
            "fax_number": "212-388-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CLINTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023487",
            "telephone_number": "212-388-9886",
            "fax_number": "212-388-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIEXPRESS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "LAI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-388-9886"
    },
    "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": "027286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02693254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIEXPRESS",
            "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 May 1, 2017; 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.