# 158TH STREET NEIGHBORHOOD PHARMACY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528139318
- **Authorized official:** MR. JOSEPH TEMPELBERG (OFFICER)
- **Authorized official phone:** (718) 585-6188

## Contact information

- **Practice address:** 3103 3RD AVE, BRONX, NY 10451-4688
- **Practice address phone:** (718) 585-6188
- **Practice address fax:** (718) 585-6653
- **Mailing address:** 3103 3RD AVE, BRONX, NY 10451-4688
- **Mailing address phone:** (718) 585-6188
- **Mailing address fax:** (718) 585-6653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026148 | NY | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02519551 | — | NY |