Blondell RX Ny LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029917 Issued in NY

Legal business name

BLONDELL RX NY LLC

Practice address

1642 Eastchester Rd
Bronx, NY 10461-2316

Phone

(347) 691-3494

Fax

(347) 961-3496

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Elan Katz

Title

Managing Member

Phone

(917) 830-2522

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Quick Rx Specialty Pharmacy Doing business as
• Blondell Rx Corp Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Blondell RX Ny LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1992234454

  9032526603

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blondell RX Ny LLC

  • Long Term Care Pharmacy
  • Bronx, NY
  • NPI 1356965636

  O20210326000403

  Same enrollment
• Blondell RX Ny LLC

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1992234454

  O20210326000403

  Same enrollment

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1003148321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 SURF AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242810",
            "telephone_number": "212-249-8202",
            "fax_number": "917-722-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612316",
            "telephone_number": "347-691-3494",
            "fax_number": "347-961-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLONDELL RX NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-830-2522"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3198827",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quick Rx Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blondell Rx Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nikki Dyan Bloch
• Raphael S Bloch, MD
• Sana Bloch, MD
• Sandra Susan Block-Effron
• Andrea Blocker
• Blondell RX Ny LLC
• Jacques Oswald Blondet, DPM
• Bloom Services LLC
• Bloom Trans Services LLC
• Kelly Bloom

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.