Organization Active NPI

Pro Aid Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1952962151
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRO AID PHARMACY INC
Practice address
728 W 181St St
New York, NY 10033-4701
Phone
(646) 791-2400
Fax
(646) 791-2403
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Jacob Greenfeld
Title
Supervising Pharmacist
Phone
(646) 791-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

728 W 181St St
New York, NY 10033-4701

Mailing address

728 W 181St St
New York, NY 10033-4701
Phone (646) 791-2400

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191230000163 NY DME Supplier - Pharmacy 1355775354 Practice locations: New York, NY
O20241111002049 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1355775354 Practice locations: New York, 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
Pro Aid Pharmacy Inc728 W 181St St, New York, NY 10033-4701(646) 791-2400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|… Accepts assignmentParticipating since Oct 24, 2019

National Provider Directory

National Provider Directory

Locations

728 W 181st St
New York, NY 10033
Phone (646) 791-2400

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": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1952962151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334701",
            "telephone_number": "646-791-2400",
            "fax_number": "646-791-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334701",
            "telephone_number": "646-791-2400",
            "fax_number": "646-791-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO AID PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "GREENFELD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "646-791-2400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 27, 2024; 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.