Active NPI
City Care Pharmacy Inc
- Community/Retail Pharmacy
- Long Island City, NY
National Provider Identifier
1972631638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 015266
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00275003 | Medicaid | NY | |
| 3318210 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Ravensview Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| City Care Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember 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
- Cindy Y Lee DMD, P.C.
- Cassandra Isabella Ciorciari, PT, DPT
- Rachel Lise Ciota, FNP
- Serena Cisneros
- Oumou Cisse
- City Dermatology PC
- City Kids Psychological Services, PLLC
- City Medical of Upper East Side, PLLC
- City of Ny Office of Payroll Adm C/O Office of Payroll Admin
- City of Ny Office of Payroll Adm C/O Office of Payroll Admin
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.