Provider Demographics
NPI:1932231768
Name:BRONX COMMUNITY PHARMACY
Entity Type:Organization
Organization Name:BRONX COMMUNITY PHARMACY
Other - Org Name:BRONX CARE PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-310-2221
Mailing Address - Street 1:2404 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5603
Mailing Address - Country:US
Mailing Address - Phone:718-220-1336
Mailing Address - Fax:718-220-1338
Practice Address - Street 1:2404 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5603
Practice Address - Country:US
Practice Address - Phone:718-220-1336
Practice Address - Fax:718-220-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0281883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3353492OtherNCPDP PROVIDER IDENTIFICATION NUMBER