475 PHARMACY CORP (NPI# 1306957725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306957725 |
| Entity Type | Organization |
| Organization Name | 475 PHARMACY CORP |
| Other Organization Name | MCLEAN PHARMACY |
| Practice Address |
642 Mclean Ave Yonkers NY 10705 |
| Practice Telephone | 9149630888 |
| Practice Fax Number | 9149633879 |
| Mailing Telephone | 9149630888 |
| Mailing Fax Number | 9149633879 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER W IP (SUPERVISING PHARMACIST) |
| Authorized Official Telephone | 9149630888 |
| Authorized Official Credential | REG PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 16924 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00558205 | 05 |
| Other Name | Type Code |
|---|---|
| McLean Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508940768 | 475 Pharmacy Corp | Pharmacist | 642 Mclean Ave, Yonkers, NY 10705-4740 | 2006-10-24 |
| Street Address |
642 MCLEAN AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194048546 | Peter W Ip | Pharmacist | 642 Mclean Ave, Yonkers, NY 10705-4740 | 2010-03-11 |
| 1508940768 | 475 Pharmacy Corp | Pharmacist | 642 Mclean Ave, Yonkers, NY 10705-4740 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| 1053802132 | Safa Ali Alsaidi | Speech-Language Pathologist | 72 Sedgwick Ave, Yonkers, NY 10705 | 2018-05-23 |
| 1962921882 | Breena Beck | Social Worker | 487 S Broadway Ste 2, Yonkers, NY 10705 | 2017-09-12 |
| 1285152231 | Megan Nicole Coyne | Specialist/Technologist | 1090 South Dr., Indiana, PA 10705 | 2017-08-30 |
| 1467994459 | Georgia Katsalis | Social Worker | 573 South Broadway, Apt 2e, Yonkers, NY 10705 | 2016-11-08 |
| 1144680125 | Nonyem Akuba | Registered Nurse | 315 Glenbrook Avenue, Yonkers, New York, NY 10705 | 2016-03-03 |
| 1629435078 | Marisol Castro-pecoraro | Counselor | 360 South Broadway, Suite 22, Yonkers, NY 10705 | 2016-01-15 |
| 1518331255 | Health Care New York | Home Health | 39 Cliff Ave, Yonkers, NY 10705 | 2015-11-18 |
| 1548668122 | Mike Menla | Family Medicine | 415 South Broadway, St Josephs Outpatient Clinic, Yonkers, NY 10705 | 2014-12-12 |
| 1952706731 | Branislav Ristic | Dietitian, Registered | 501 Riverdale Ave 2g, Yonkers, NY 10705 | 2014-10-23 |
| Find all providers in zip 10705 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635758 | Map Pharmacy Inc | Pharmacy | 984 N Broadway Ste L06, Yonkers, NY 10701-1319 | 2019-02-13 |
| 1740754399 | Mohammad S Khan | Pharmacy | 41 Grant St Apt 1, Yonkers, NY 10704-2362 | 2019-01-17 |
| 1255806246 | Mount Sinai Health Inc. | Pharmacy | 1086 N Broadway Ste 155, Yonkers, NY 10701-1114 | 2018-10-05 |
| 1275908816 | Mclean Ave Pharmacy Corp | Pharmacy | 211 Mclean Ave, Yonkers, NY 10705-4419 | 2015-12-08 |
| 1225186224 | Esther Pharmacy Inc | Pharmacy | 71 S Broadway, Yonkers, NY 10701-4004 | 2007-01-08 |
| 1962517748 | Shoprite Supermarkets Inc. | Pharmacy | 278 Tuckahoe Rd, Yonkers, NY 10710 | 2006-08-20 |
| 1932111861 | Lake Ave Pharmacy Inc | Pharmacy | 130 Lake Ave, Yonkers, NY 10703-2713 | 2006-08-12 |
| 1750300786 | Stop and Shop Supermarket Co LLC | Pharmacy | Vrendenburgh Ave and Xavier Dr, Yonkers, NY 10704 | 2006-07-19 |
| 1760424063 | Crosstown Pharmacy Inc | Pharmacy | 352 Kimball Ave, Yonkers, NY 10704-3042 | 2006-06-12 |
| 1285624015 | Rlt Pharmacy, Inc. | Pharmacy | 671 Yonkers Ave, Yonkers, NY 10704-2621 | 2005-10-24 |
| Find all providers in YONKERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.