Organization Active NPI

Raphael Drug & Health LTD

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1992907992
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
015725 Issued in NY
Legal business name
RAPHAEL DRUG & HEALTH LTD
Practice address
1257 Broadway
New York, NY 10001-3504
Phone
(212) 684-0090
Fax
(212) 629-4749
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. Oyoon KwonNPI 1992801740
Title
President
Phone
(212) 684-0090

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 015725 NY Primary

Addresses

Primary practice location

1257 Broadway
New York, NY 10001-3504

Mailing address

1257 Broadway
New York, NY 10001-3504
Phone (212) 684-0090

Other identifiers 1

IdentifierTypeStateIssuer
00267996MedicaidNY

National Provider Directory

National Provider Directory

Locations

1257 Broadway
New York, NY 10001
Phone (212) 684-0090

Practitioners & affiliated clinicians

Practitioners 2

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1992907992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013504",
            "telephone_number": "212-684-0090",
            "fax_number": "212-629-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013504",
            "telephone_number": "212-684-0090",
            "fax_number": "212-629-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL DRUG & HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OYOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-684-0090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "015725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00267996",
            "state": "NY"
        }
    ],
    "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 Sep 19, 2007; 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.