475 PHARMACY CORP (NPI# 1508940768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508940768 |
| Entity Type | Organization |
| Organization Name | 475 PHARMACY CORP |
| Other Organization Name | MCLEAN PHARMACY |
| Practice Address |
642 Mclean Ave Yonkers NY 10705-4740 |
| Practice Telephone | 9149630888 |
| Practice Fax Number | 9149633879 |
| Mailing Telephone | 9149630888 |
| Mailing Fax Number | 9149633879 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | MR. PETER WAI LAM IP (SUPERVISING PHARMACIST) |
| Authorized Official Telephone | 9149630888 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16925 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00558205 | 05 |
| Other Name | Type Code |
|---|---|
| MCLEAN PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306957725 | 475 Pharmacy Corp | Pharmacy | 642 Mclean Ave, Yonkers, NY 10705 | 2006-08-31 |
| Street Address |
642 MCLEAN AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10705-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306957725 | 475 Pharmacy Corp | Pharmacy | 642 Mclean Ave, Yonkers, NY 10705 | 2006-08-31 |
| 1194048546 | Peter W Ip | Pharmacist | 642 Mclean Ave, Yonkers, NY 10705-4740 | 2010-03-11 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239184 | Udumeje Jack-ogunewe | Pharmacist | 25 Grassy Sprain Rd, Yonkers, NY 10710-4516 | 2019-11-10 |
| 1750809786 | Kaitav Shah | Pharmacist | 9 Bryn Mawr Pl Fl 2, Yonkers, NY 10701-5303 | 2017-08-30 |
| 1265809214 | Kunjithapatham Chockkalingam | Pharmacist | 124 Alder St, Yonkers, NY 10705-1502 | 2015-08-25 |
| 1780099291 | Misha Mullappally | Pharmacist | 20 Secor Pl Apt 5c, Yonkers, NY 10704-3236 | 2014-06-23 |
| 1417390303 | Wesam Gbara | Pharmacist | 111 Vredenburgh Ave, Yonkers, NY 10704-2167 | 2013-04-10 |
| 1942557624 | Talha Azeem | Pharmacist | 9 Shoreview Dr Apt 3, Yonkers, NY 10710-1954 | 2012-08-13 |
| 1316213978 | Robert Vizioli | Pharmacist | 20 Stew Leonard Drive, Yonkers, NY 10710-0000 | 2012-03-28 |
| 1194096206 | John N Boos | Pharmacist | 1194 Saw Mill River Rd, Yonkers, NY 10710-3209 | 2012-01-20 |
| 1780975201 | Abey P Joseph | Pharmacist | 249 Concord Rd, Yonkers, NY 10710-1824 | 2011-05-02 |
| 1811288616 | Joseph Prata | Pharmacist | 355 Bronx River Rd Apt 5d, Yonkers, NY 10704-3415 | 2011-04-27 |
| 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.