139 Pharmacy, Inc.

LBN: 139 Pharmacy, Inc.
139 Pharmacy, Inc. is an health care organization with primary practice located at 3411 Broadway , New York NY 10031-7407. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 139 Pharmacy, Inc. can be contacted via phone (212) 283-5764, or through Walter, Vinay via phone (212) 283-6623.

Contact Information

Primary practice address
3411 Broadway New York NY 10031-7407
Phone: (212) 283-5764
Fax: (212) 283-5764
Website:
Map and Directions
Authorized official contact:
Name: Walter, Vinay
Phone: (212) 283-6623

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 015978 New York
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194861104
LBN Legal business name 139 Pharmacy, Inc.
DBA Doing business as
Authorized official Walter, Vinay
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2007
Last updated Aug 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194861104 NPPES
New York Other 3337373 NABP
New York MEDICAID 01423894 NABP

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