Active NPI
Kingraj Pharmacy Inc
- Pharmacy
- Bronx, NY
National Provider Identifier
1003245101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 019038
- Legal business name
- KINGRAJ PHARMACY INC
- Practice address
- 58 E Kingsbridge Rd
Bronx, NY 10468-7517 - Phone
- (718) 584-8371
- Fax
- (718) 933-6677
- NPI assigned
- Nov 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Apparao Malla, PHARMACIST
- Title
- Owner
- Phone
- (718) 584-8371
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 019038 | NY | Primary |
Addresses
Primary practice location
58 E Kingsbridge Rd
Bronx, NY 10468-7517
Mailing address
58 E Kingsbridge Rd
Bronx, NY 10468-7517
Phone (718) 584-8371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01128541 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- King-Raj Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Bronx, NY
- NPI 1598863755
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1336362102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1003245101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 E KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104687517",
"telephone_number": "718-584-8371",
"fax_number": "718-933-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 E KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104687517",
"telephone_number": "718-584-8371",
"fax_number": "718-933-6677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGRAJ PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "MALLA",
"authorized_official_first_name": "APPARAO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-584-8371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "019038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01128541",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.