Provider Type Icon

66 NAGLE AVENUE CORP NPI 1427031475


NPI Information

NPI: 1427031475
Provider Name: 66 NAGLE AVENUE CORP

Doing Business As: THERESA PHARMACY II

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
66 NAGLE AVE
NEW YORK, NY
ZIP 10040
Phone: (212) 304-3949
Get Directions

66 NAGLE AVENUE CORP is a community/retail pharmacy pharmacy in New York, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. 66 NAGLE AVENUE CORP NPI is 1427031475. The provider is registered as an organization entity type.
The provider Is Doing Business As Theresa Pharmacy Ii.

The provider's business location address is:

66 NAGLE AVE
NEW YORK, NY
ZIP 10040-406
Phone: (212) 304-3949
Fax: (212) 304-4339

The provider's authorized official is Robert Newman .
The authorized official title is Pharmacist/vp and has the following contact phone number (212) 304-3949.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 4/19/2010.


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
13336C0004XPharmacyCompounding PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy022529NEW 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
14867120001MEDICARE NSC
201584358MEDICAIDNEW YORK
33302712OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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.