Provider Demographics
NPI:1902878796
Name:DOWNTOWN PHARMACY INC.
Entity Type:Organization
Organization Name:DOWNTOWN PHARMACY INC.
Other - Org Name:DOWNTOWN PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-233-0333
Mailing Address - Street 1:DOWNTOWN PHARMACY
Mailing Address - Street 2:165 WILLIAM STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-233-0333
Mailing Address - Fax:212-233-0444
Practice Address - Street 1:165 WILLIAM STREET
Practice Address - Street 2:DOWNTOWN PHARMACY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-233-0333
Practice Address - Fax:212-233-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025527332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY025527OtherPHARMACY STATE LICENSE
NJ0081795OtherNEW JERSEY MEDICAID NUMBE
NY02358890Medicaid
NY02358890Medicaid
NJ0081795OtherNEW JERSEY MEDICAID NUMBE