1400 ST NICHOLAS LLC (NPI# 1417448945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417448945 |
| Entity Type | Organization |
| Organization Name | 1400 ST NICHOLAS LLC |
| Other Organization Name | SAFEHEART PHARMACY |
| Practice Address |
1400 Saint Nicholas Ave New York NY 10033-4027 |
| Practice Telephone | 2125685454 |
| Practice Fax Number | 2125685340 |
| Mailing Telephone | 2125685454 |
| Mailing Fax Number | 2125685340 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | MARIA FAVALE (VICEPRESIDENT/SP) |
| Authorized Official Telephone | 2125685454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177835 | 01 |
| Other Name | Type Code |
|---|---|
| SafeHeart Pharmacy | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | 1400 ST NICHOLAS LLC | 1400 Saint Nicholas Ave, New York, New York 10033 |
| Street Address |
1400 SAINT NICHOLAS AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1063048627 | Lori Cinar | Speech-Language Pathologist | 544 Fort Washington Avenue, New York, NY 10033 | 2020-03-16 |
| 1245885953 | Beth Feldman | Occupational Therapist | 93 Bennett Ave, New York, NY 10033 | 2019-08-08 |
| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
| 1386140812 | Han Acupuncture | Acupuncturist | 701 W 177th Street, Suite 001, New York, NY 10033 | 2018-04-03 |
| 1023524956 | Kyong Su Han | Acupuncturist | 701 West 177th St, #001, New York, NY 10033 | 2017-12-14 |
| 1609380336 | Divine Luxury Transportation Inc | Non-emergency Medical Transport (VAN) | 360 Audubon Avenue, New York, NY 10033 | 2017-11-16 |
| 1174042683 | Kseniya Yershova | Psychologist | 66 Pinehurst Ave, 1a, New York, NY 10033 | 2017-09-15 |
| Find all providers in zip 10033 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1942815121 | Columbia Family Pharmacy LLC | Pharmacy | 29 Audubon Ave, New York, NY 10032-2249 | 2020-09-14 |
| 1144839895 | Carehart Inc | Pharmacy | 41 7th Ave S, New York, NY 10014-4528 | 2020-07-29 |
| 1235757758 | East Side Chemists Inc | Pharmacy | 401 E 78th St, New York, NY 10075-1611 | 2020-07-10 |
| 1881210680 | Vs Pharmacy Corp | Pharmacy | 2301 2nd Ave, New York, NY 10035-4121 | 2020-06-18 |
| 1083248694 | Madison Apothecary Inc. | Pharmacy | 1114 Madison Avenue, New York, NY 10028 | 2020-02-24 |
| 1407489222 | Valentina's Pharmacy Inc | Pharmacy | 14 W 125th St, New York, NY 10027-4502 | 2020-02-20 |
| 1669005443 | Lenox Chemists Inc | Pharmacy | 422 E 75th St, New York, NY 10021-3432 | 2020-02-19 |
| 1952932360 | Tree Pharmacy Inc | Pharmacy | 2423 Adam Clayton Powell Jr Blvd, New York, NY 10030-1607 | 2020-02-04 |
| 1316583800 | Tlz Drug Corp | Pharmacy | 2518 Adam Clayton Powell Jr Blvd, New York, NY 10039-4102 | 2019-11-20 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on 1400 ST NICHOLAS LLC.
| 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.