ST LUKES ROOSEVELT HOSPITAL CENTER


Address: 203 W 12th St, New York, NY 10011-7762
Phone: 2126041970

ST LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1063562551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063562551
Entity Type Organization
Organization Name ST LUKES ROOSEVELT HOSPITAL CENTER
Other Organization Name WEST VILLAGE PHARMACY
Practice Address 203 W 12th St
New York
NY 10011-7762
Practice Telephone 2126041970
Practice Fax Number 2126041971
Mailing Telephone 2126041970
Mailing Fax Number 2126041971
Enumeration Date 2007-01-10
Last Update Date 2010-06-22
Authorized Official Name DENISE FAHMIE (PHARMACY DIRECTOR)
Authorized Official Telephone 2126041975
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
030198 NY Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 3332385 01

Other Provider/Organization Names

Other Name Type Code
West Village Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285600106 St Lukes Roosevelt Hospital Center Medical Genetics 1000 10th Ave Ste 10c, New York, NY 10019-1147 2006-02-28
1164407359 St Lukes Roosevelt Hospital Center Obstetrics & Gynecology 425 West 59th Street, Ste 5-a, New York, NY 10019-8022 2005-12-09
1174508360 St Lukes Roosevelt Hospital Center Obstetrics & Gynecology Primary 1000 10th Avenue, Ste 11a-61, New York, NY 10019-1147 2005-12-09
1992701205 St Lukes Roosevelt Hospital Center Obstetrics & Gynecology 425 West 59th Street, Ste 9-b, New York, NY 10019-1104 2005-06-22
1235440561 St Lukes Roosevelt Hospital Center Pharmacy 275 7th Ave Fl 12, New York, NY 10001-6995 2010-07-01
1417192311 St Lukes Roosevelt Hospital Center Rehabilitation Unit 1111 Amsterdam Ave, New York, NY 10025-1716 2008-12-05
1821136979 St Lukes Roosevelt Hospital Center Pharmacy 1000 10th Ave, 2t Clinic, New York, NY 10019-1147 2007-02-01
1104982917 St Lukes Roosevelt Hospital Center Case Management 1000 10th Ave, Roosevelt Division, New York, NY 10019 2006-12-28
1164582110 St Lukes Roosevelt Hospital Center Psychiatric Hospital 411 W 114th St, New York, NY 10025-1710 2006-12-11
1134211717 St Lukes Roosevelt Hospital Center Internal Medicine 1000 10th Ave, New York, NY 10019-1147 2006-09-29

Office Location

Street Address 203 W 12TH ST
City NEW YORK
State NY
Zip Code 10011-7762

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679520696 Nina Mcgowan Psychiatry & Neurology 203 W 12th St, Room 625, New York, NY 10011-7762 2006-05-27
1144534017 Lauren Bryce Social Worker 203 W 12th St, Suite 1022, New York, NY 10011-7762 2010-08-03
1083847461 Mary Montemurro Registered Nurse 203 W 12th St, 616, New York, NY 10011-7762 2009-09-01
1063643005 Louise M Mullan Clinic/Center 203 W 12th St, Suite 435, 4th Floor, New York, NY 10011-7762 2009-08-06
1114165131 Stephanie Robin Sacks Social Worker 203 W 12th St, Rm. 613, New York, NY 10011-7762 2009-01-29
1528217874 Liza Ness Social Worker 203 W 12th St, New York, NY 10011-7762 2008-09-11
1447409842 Michelle Cobbs-hardy Counselor 203 W 12th St, O'toole - 3rd Floor, New York, NY 10011-7762 2008-09-10
1083863583 Julie Arner Counselor 203 W 12th St, Suite 617, New York, NY 10011-7762 2008-09-09
1104074020 Paul Eder Psychiatry & Neurology 203 W 12th St, 441, New York, NY 10011-7762 2008-09-04
1962650770 Zdena Rubin Psychologist 203 W 12th St, Room 450, New York, NY 10011-7762 2008-09-04
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1649829219 Clara Angel Inc. Counselor 12 Fifth Avenue, Suite 1f, New York, NY 10011 2019-09-06
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1700367851 Chana Zigelboym Speech-Language Pathologist 353 W 17th St, New York, NY 10011 2018-08-27
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1023527611 Linda Jacobs Psychologist 96 5th Avenue, Sutie 1d, New York, NY 10011 2017-09-26
1861919359 Ireen Miras Ninonuevo Social Worker 80 5th Ave Ofc 2004-6, New York, NY 10011 2017-08-24
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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]

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1538312749 The New York Hotel Trades Council and Hotel Association of New York Ci Pharmacy 773-775 9th Ave, New York, NY 10019 2008-10-31
1841468840 Nycdohmh Bureau of Public Health Labs Pharmacy 455 First Avenue Rm 147, Nycdohmh Bureau of Public Health Labs Pharmacy Departme, New York, NY 10016-9102 2008-02-13
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1831589761 Maxor National Pharmacy Services LLC Pharmacy 19 Mitchell Fld, Garden City, NY 11530-6720 2015-01-30
1801162375 Evers Rx Inc Pharmacy 226 E 144th St Fl 2, Bronx, NY 10451-5909 2012-03-28
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Competitor

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City NEW YORK
Zip Code 10011

Improve Information

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Dataset Information

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.

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