Frederick Community Pharmacy Inc

Address: 2450 Frederick Douglas Blvd, New York, NY 10027
Phone: (212) 690-5202

Frederick Community Pharmacy Inc (NPI# 1205355658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205355658
Entity Type Organization
Practice Address 2450 Frederick Douglas Blvd
New York
NY 10027
Practice Telephone (212) 690-5202
Practice Fax Number 2126905204
Mailing Address 2450 Frederick Douglass Blvd
New York
NY 10027-7701
Mailing Telephone 2126905202
Mailing Fax Number 2126905204
Authorized Official Name Vycheslav Yagudayev (PRESIDENT)
Authorized Official Telephone 2126905202
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2017-09-18
Last Update Date 2018-07-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 333600000X Pharmacy Suppliers

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

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Office Location

State NY
Zip Code 10027

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1023616356 Nathan Light Dentist M Dental Care PC, 337 Lenox Ave, New York, NY 10027 2020-10-09
1720691199 Mohamad El Zein Student in an Organized Health Care Education/Training Program 281 West 132nd Street, App Nb 2, New York, NY 10027 2020-08-26
1194335893 Cynthia Wiggins Social Worker 1255 Amsterdam Avenue, New York, NY 10027 2020-08-06
1497399877 Dr. F Sanchez Dental Arts Pllc Dentist 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 2019-10-29
1588214357 Advanced Dermatology of New York PC Dermatology 1-3 West 125th Street, New York, NY 10027 2019-09-13
1396216818 Gissel Lopez Licensed Practical Nurse 119west 124th Street, New York, NY 10027 2018-12-10
1831660620 Katherine Gonzalez Licensed Practical Nurse 119 121 W 124th Street, New York, NY 10027 2018-12-06
1003383456 Ebony S Prescott Specialist 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 2018-10-24
1619456589 Arts of Optics Corp. Optometrist 200 W 125th St, New York, NY 10027 2018-08-10
1396262150 Rosanna Rodriguez Social Worker 2090 Adam Clayton Powell Jr. Blvd, New York, NY 10027 2017-08-23
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Zip Code 10027

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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.