1124480967 NPI number — LARCHMONT PHARMACY LLC

Table of content: (NPI 1124480967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124480967 NPI number — LARCHMONT PHARMACY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LARCHMONT PHARMACY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LARCHMONT PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124480967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2141 PALMER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LARCHMONT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10538-2406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-341-1900
Provider Business Mailing Address Fax Number:
914-341-1901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2141 PALMER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LARCHMONT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10538-2406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-341-1900
Provider Business Practice Location Address Fax Number:
914-341-1901
Provider Enumeration Date:
03/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CIARLETTA
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
JOHN
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
914-341-1900

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  034528 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 034528 . This is a "NEW YORK STATE BOARD LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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