Provider Demographics
NPI:1467558007
Name:Z CHEMIST LLC
Entity Type:Organization
Organization Name:Z CHEMIST LLC
Other - Org Name:Z CHEMISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-956-6000
Mailing Address - Street 1:40 W 57TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4001
Mailing Address - Country:US
Mailing Address - Phone:212-956-6000
Mailing Address - Fax:212-956-6215
Practice Address - Street 1:40 W 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4001
Practice Address - Country:US
Practice Address - Phone:212-956-6000
Practice Address - Fax:212-956-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X, 3336S0011X
NY0272023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02645834 NYMedicaid
3343960OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3343960OtherNCPDP PROVIDER IDENTIFICATION NUMBER