Provider Demographics
NPI:1477977668
Name:UPPER MANHATTAN PHARMACY INC
Entity Type:Organization
Organization Name:UPPER MANHATTAN PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-742-3400
Mailing Address - Street 1:1728 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4604
Mailing Address - Country:US
Mailing Address - Phone:212-694-6666
Mailing Address - Fax:212-694-6660
Practice Address - Street 1:1728 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4604
Practice Address - Country:US
Practice Address - Phone:212-694-6666
Practice Address - Fax:212-694-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6545090001OtherMEDICARE PTAN
NY1629368345OtherNPI
NY5802271OtherNCPDP
NY03340549Medicaid