Organization Active NPI

133Rd Street Pharmacy Inc

Doing business as 133Rd St Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1972536456
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
027564 Issued in NY
Legal business name
133RD STREET PHARMACY INC
Doing business as
133Rd St Pharmacy Inc
Practice address
1473 Amsterdam Ave
New York, NY 10027-7472
Phone
(212) 491-4911
Fax
(212) 491-4916
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Bhargav Patel, RPHNPI 1003147109
Title
Sup Pharmacist
Phone
(212) 491-4911

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 027564 NY Primary

Addresses

Primary practice location

1473 Amsterdam Ave
New York, NY 10027-7472

Mailing address

1473 Amsterdam Ave
New York, NY 10027-7472
Phone (212) 491-4911

Other identifiers 2

IdentifierTypeStateIssuer
02723279MedicaidNY
2067350OtherPK

Other names 1

  • 133RD ST PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930097006 NY DME Supplier - Pharmacy 9436350154 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
133Rd Street Pharmacy Inc1473 Amsterdam Ave, New York, NY 10027-7472(212) 491-4911 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Dec 12, 2005

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1473 Amsterdam Ave
Frnt 1
New York, NY 10027
Phone (212) 491-4911

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1972536456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277472",
            "telephone_number": "212-491-4911",
            "fax_number": "212-491-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277472",
            "telephone_number": "212-491-4911",
            "fax_number": "212-491-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "133RD STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARGAV",
        "authorized_official_title_or_position": "SUP PHARMACIST",
        "authorized_official_telephone_number": "212-491-4911",
        "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": "027564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02723279",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "133RD ST PHARMACY INC",
            "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 10, 2016; 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.