Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medilane Pharmacy Corp

Organization Pharmacy · NPI 1003928011

Medilane Pharmacy Corp is a Pharmacy in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 Clinton St
New York, NY 10002-7576
Phone: (212) 571-2888
Fax: (212) 571-6881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 023258 (NY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1003928011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miriam Fung — Secretary · (212) 571-2888
Other names Medilane Pharmacy
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 18, 2013
Mailing address204 Clinton St, New York, NY 10002-7576

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