1400 St Nicholas LLC
NPI 1417448945 · Community/Retail Pharmacy · New York, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
1400 St Nicholas LLC is a Community/Retail Pharmacy organization in New York, NY (NPI 1417448945).
Provider details
- NPI number
- 1417448945
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Maria Favale, Supervising Pharmacist(212) 568-5454
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Safe Heart Pharmacy
Registry dates
- Enumerated
- 2018-05-21
- Last updated
- 2023-12-18
- Certified
- 2023-12-18
Frequently asked questions
- What is 1400 St Nicholas LLC's NPI number?
- 1400 St Nicholas LLC's National Provider Identifier (NPI) is 1417448945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1400 St Nicholas LLC?
- 1400 St Nicholas LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 1400 St Nicholas LLC located?
- 1400 St Nicholas LLC's practice location on file with NPPES is 1400 Saint Nicholas Ave, New York, NY 10033-4027.
- What is 1400 St Nicholas LLC's phone number?
- The practice phone number listed in the NPPES registry for 1400 St Nicholas LLC is (212) 568-5454.
- Does 1400 St Nicholas LLC accept Medicare?
- 1400 St Nicholas LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 1400 St Nicholas LLC?
- The authorized official listed on 1400 St Nicholas LLC's NPPES record is Maria Favale, Supervising Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1400 St Nicholas LLC's NPI active?
- Yes — 1400 St Nicholas LLC's NPI (1417448945) is active in the NPPES registry as of the last update on 2023-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.