SAN PEDRO PHARMACY
NPI 1376943720
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since September 03, 2014
1381 SAINT NICHOLAS AVE, NEW YORK, NY 10033(212) 928-7263(917) 521-8307 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Pedro Pharmacy NPPES

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

SAN PEDRO PHARMACY (NPI 1376943720) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since September 2014. The organization lists Krunal Vasani, Pharmacy Manager/pic/ao, as its authorized official.

NPPES Registry Identity

NPI1376943720
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRANAM HEALTHCARE LLC
Location Address1381 SAINT NICHOLAS AVENew York, NY 10033-4001
Mailing Address1381 Saint Nicholas AveNew York, NY 10033-4001 · (212) 928-7263 · Fax (917) 521-8307
Fax(917) 521-8307
Organization SubpartNo
Authorized OfficialKrunal VasaniPharmacy Manager/pic/ao · (212) 928-7263
Enumeration DateSeptember 3, 2014
Last NPPES UpdateJune 9, 2016
NPI 1376943720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 033184
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 ListedPharmacyTaxonomy 333600000X
1381 SAINT NICHOLAS AVE, New York, NY 10033

Other Names 1

Doing Business AsSan Pedro Pharmacy

Other Identifiers 2

Other2148092Pk
Medicaid4131279NY

Accepted Insurance

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
66 services32 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories San Pedro carries, from the Medicare DMEPOS supplier directory.

San Pedro

DMEPOS supplier · New York, NYOperated by Pranam Healthcare LLC

Does not accept Medicare assignment

San Pedro has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20483927
Medicare Participant SinceApril 15, 2015
Supplier Location1381 Saint Nicholas AveNew York, NY 10033
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 3

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

Pharmacist
1381 SAINT NICHOLAS AVE
NEW YORK, NY 10033
Pharmacist
1381 SAINT NICHOLAS AVE
NEW YORK, NY 10033
Pharmacist
1381 SAINT NICHOLAS AVE
NEW YORK, NY 10033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376943720, enumerated as an "organization" on September 03, 2014.

The provider is located at 1381 SAINT NICHOLAS AVE NEW YORK, NY 10033 and the phone number is (212) 928-7263.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.