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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194861104 | NPPES |
| New York | Other | 3337373 | NABP |
| New York | MEDICAID | 01423894 | NABP |
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