Provider Demographics
NPI:1811939697
Name:METROPOLITAN HOSPITAL-PHARMACY
Entity type:Organization
Organization Name:METROPOLITAN HOSPITAL-PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOOK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-423-6555
Mailing Address - Street 1:1901 1ST AVE RM 108
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE RM 108
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6262
Practice Address - Fax:212-423-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006588333600000X
3336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00246135Medicaid
3339795OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NY00246135Medicaid