543 Lenox Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032856 Issued in NY

Legal business name

543 LENOX CORP

Practice address

543 Lenox Ave
New York, NY 10037-1806

Phone

(212) 283-2136

Fax

(212) 283-2463

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Mohamed Hassan

Title

Owner

Phone

(212) 283-2136

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• palace pharmacy Doing business as

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1972925907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371806",
            "telephone_number": "212-283-2136",
            "fax_number": "212-283-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371806",
            "telephone_number": "212-283-2136",
            "fax_number": "212-283-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "543 LENOX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-283-2136"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147473",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03859652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "palace pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in New York, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.