Organization Active NPI

DB Medical Supplies Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1003115197
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030544 Issued in NY
Legal business name
DB MEDICAL SUPPLIES INC
Practice address
979 Westchester Ave
Bronx, NY 10459-3204
Phone
(718) 455-5558
Fax
(347) 590-7212
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Radhakrishna Katragadda
Title
Pharmacy Manager
Phone
(718) 455-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 030544 NY Primary

Addresses

Primary practice location

979 Westchester Ave
Bronx, NY 10459-3204

Mailing address

979 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 455-5558

Other identifiers 2

IdentifierTypeStateIssuer
2129517OtherPK
3331844MedicaidNY

Other names 1

  • Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110712000458 NY DME Supplier - Pharmacy 7719155035 Practice locations: Bronx, NY
O20210121002456 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7719155035 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

979 Westchester Ave
Bronx, NY 10459
Phone (718) 455-5558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1003115197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593204",
            "telephone_number": "718-455-5558",
            "fax_number": "347-590-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593204",
            "telephone_number": "718-455-5558",
            "fax_number": "347-590-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "KATRAGADDA",
        "authorized_official_first_name": "RADHAKRISHNA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "718-455-5558"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129517",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.