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EMERALD PHARMACY
NPI 1770678666
Pharmacist in Bronx, NY

Active since October 04, 2006CLIA 33D2208520 · Waiver
4295 KATONAH AVE, BRONX, NY 10470(718) 944-0862(718) 944-0864 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Emerald Pharmacy NPPES

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

EMERALD PHARMACY (NPI 1770678666) is a healthcare organization registered as a pharmacist in Bronx, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists William Shawn Nealis, President, as its authorized official.

NPPES Registry Identity

NPI1770678666
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NamePEG APOTHECARY INC
Location Address4295 KATONAH AVEBronx, NY 10470
Mailing Address4295 Katonah AveBronx, NY 10470 · (718) 944-0862 · Fax (718) 944-0864
Phone(718) 944-0862
Fax(718) 944-0864
Organization SubpartNo
Authorized OfficialWilliam Shawn NealisPresident · (718) 944-0862
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1770678666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 047516
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4295 KATONAH AVE, Bronx, NY 10470
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Other Names 1

Doing Business AsEmerald Pharmacy

Other Identifiers 3

Medicaid00290857NY
Other025341NY · Nys Pharmacy Lic
Other3325835NY · Nabp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2208520

Emerald Pharmacy · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2208520
Laboratory TypePharmacy
Certificate Effective DateJanuary 7, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Arsenio Go
Laboratory Phone(718) 644-0862
Laboratory LocationEmerald Pharmacy4295 Katonah Ave, Bronx, NY 10470
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
69 services68 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
49 services49 patients

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. WILLIAM SHAWN NEALIS RPH
Pharmacist
4295 KATONAH AVE
BRONX, NY 10470
Bronx County (718) 944-0862

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 Peg Apothecary Inc's NPI number?

The NPI number for Peg Apothecary Inc is 1770678666. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Emerald Pharmacy.

Where is Peg Apothecary Inc located?

Peg Apothecary Inc is located at 4295 Katonah Ave, Bronx, NY 10470. The listed phone number is (718) 944-0862.

What is Peg Apothecary Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Peg Apothecary Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2208520) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peg Apothecary Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Peg Apothecary 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 Peg Apothecary Inc was last updated on March 7, 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.