=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598149478
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEXINGTON PHARMA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2015
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2021 LEXINGTON AVE FRNT 3
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10035-2223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-426-5555
-----------------------------------------------------
Fax | 212-426-6166
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2021 LEXINGTON AVE FRNT 3
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10035-2223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-426-5555
-----------------------------------------------------
Fax | 212-426-6166
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY MANAGER / PHARMACIST
-----------------------------------------------------
Name | JAGI CHHUGANI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 212-426-5555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 033831
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------