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139 PHARMACY, INC.
NPI 1194861104
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since January 29, 2007
3411 BROADWAY, NEW YORK, NY 10031(212) 283-5764(212) 283-5764 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 23, 2023, Jul 25, 2023 (2 updates tracked since 2023).

About 139 Pharmacy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

139 PHARMACY, INC. (NPI 1194861104) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since January 2007. The organization lists Vinay Walter, Rph, as its authorized official.

NPPES Registry Identity

NPI1194861104
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name139 PHARMACY, INC.
Location Address3411 BROADWAYNew York, NY 10031-7407
Mailing Address3411 BroadwayNew York, NY 10031-7407 · (212) 283-5764
Phone(212) 283-5764
Fax(212) 283-5764
Organization SubpartYes
Authorized OfficialVinay WalterRph · (212) 283-6623
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1194861104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacistTaxonomy 183500000X · License 015978 (NY)
Also ListedPharmacyTaxonomy 333600000X
3411 BROADWAY, New York, NY 10031
Open in Google Maps ↗

Other Identifiers 2

Other3337373NY · Nabp
Medicaid01423894NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

139 Pharmacy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20100930036524DME · PharmacyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories 139 Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

139 Pharmacy Inc

DMEPOS supplier · New York, NY
✔

Accepts Medicare assignment

139 Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20349587
Medicare Participant SinceApril 30, 2022
Supplier Location3411 BroadwayNew York, NY 10031
Phone(212) 283-6623
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VINAY WALTER RPH
Pharmacist
3411 BROADWAY
NEW YORK, NY 10031
New York County (212) 283-6623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 139 Pharmacy, Inc.'s NPI number?

The NPI number for 139 Pharmacy, Inc. is 1194861104. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is 139 Pharmacy, Inc. located?

139 Pharmacy, Inc. is located at 3411 Broadway, New York, NY 10031. The listed phone number is (212) 283-5764.

What is 139 Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is 139 Pharmacy, Inc. enrolled in Medicare?

Yes. 139 Pharmacy, Inc. is registered in the Medicare PECOS enrollment system.

When is 139 Pharmacy, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does 139 Pharmacy, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, 139 Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does 139 Pharmacy, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 42 other insurers list 139 Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 139 Pharmacy, Inc. was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.