Organization Active NPI

City Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Long Island City, NY
National Provider Identifier
1972631638
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015266 Issued in NY
Legal business name
CITY CARE PHARMACY INC
Practice address
3449 21St St
Long Island City, NY 11106-4721
Phone
(718) 729-5199
Fax
(718) 729-8845
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Lidami Toribio
Title
Owner
Phone
(718) 729-5199

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 015266 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

3449 21St St
Long Island City, NY 11106-4721

Mailing address

3449 21St St
Long Island City, NY 11106-4721
Phone (718) 729-5199

Other identifiers 2

IdentifierTypeStateIssuer
00275003MedicaidNY
3318210OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Ravensview Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210622002843 NY Part B Supplier - Pharmacy 0840691309 Practice locations: Long Island City, NY
O20210708000866 NY DME Supplier - Pharmacy 0840691309 Practice locations: Long Island City, 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
City Care Pharmacy Inc3449 21St St, Long Island City, NY 11106-4721(718) 729-5199 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs Does not accept assignmentParticipating since Mar 1, 2019

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

3449 21st St
Long Island City, NY 11106
Phone (718) 729-5199

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1972631638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064721",
            "telephone_number": "718-729-5199",
            "fax_number": "718-729-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064721",
            "telephone_number": "718-729-5199",
            "fax_number": "718-729-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "TORIBIO",
        "authorized_official_first_name": "LIDAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-729-5199"
    },
    "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": "015266",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00275003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3318210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravensview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.