79Th Street Pharmacy

LBN: 79Th Street Pharmacy
79Th Street Pharmacy is an health care organization with primary practice located at 215 W 79Th St , New York NY 10024-6242. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 79Th Street Pharmacy can be contacted via phone (646) 370-5978, or through Haas, Larry via phone (914) 552-5340.

Contact Information

Primary practice address
215 W 79Th St New York NY 10024-6242
Phone: (646) 370-5978
Fax: (646) 398-7680
Website:
Map and Directions
Authorized official contact:
Name: Haas, Larry
Phone: (914) 552-5340

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 031405 New York

Profile Details

NPI number 1992057939
LBN Legal business name 79Th Street Pharmacy
DBA Doing business as 79Th Street Pharmacy
Authorized official Haas, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2012
Last updated Nov 9th, 2022 - about 4 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992057939 NPPES
Other 2138136 PK

Popular Providers