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DE WITT REHAB AND NURSING HOME PHCY NPI 1033145735


NPI Information

NPI: 1033145735
Provider Name: DE WITT REHAB AND NURSING HOME PHCY
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 33D2147778

Address:
211 E 79TH ST
NEW YORK, NY
ZIP 10021
Phone: (212) 879-1600
Get Directions

DE WITT REHAB AND NURSING HOME PHCY is a pharmacy in New York, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DE WITT REHAB AND NURSING HOME PHCY NPI is 1033145735. The provider is registered as an organization entity type.

The provider's business location address is:

211 E 79TH ST
NEW YORK, NY
ZIP 10021-819
Phone: (212) 879-1600
Fax: (212) 879-4594

The provider's authorized official is Edward Ahrens .
The authorized official title is Supervising Pharmacist and has the following contact phone number (212) 879-1600.

The CLIA number assigned to this NPI record is 33D2147778 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 12/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacy025580NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13337979OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
200310421MEDICAIDNEW YORK
33337979MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.