Organization Active NPI

Washington Pharmacy Corp.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1023151859
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025605 Issued in NY
Legal business name
WASHINGTON PHARMACY CORP.
Doing business as
Washington Pharmacy Corp.
Practice address
484 E Tremont Ave
Bronx, NY 10457
Phone
(718) 466-5555
Fax
(718) 466-5544
NPI assigned
Feb 14, 2007
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Abu Hoque, MD
Title
Supervising Pharmacist
Phone
(718) 466-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 025605 NY Primary

Addresses

Primary practice location

484 E Tremont Ave
Bronx, NY 10457

Mailing address

484 E Tremont Ave
Bronx, NY 10457-4437
Phone (718) 466-5555

Other identifiers 2

IdentifierTypeStateIssuer
025605OtherNYSTATE LICENSE NUMBER
02380385MedicaidNY

Other names 1

  • WASHINGTON PHARMACY CORP. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530001835 NY Part B Supplier - Pharmacy 3971718933 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1023151859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574437",
            "telephone_number": "718-466-5555",
            "fax_number": "718-466-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-466-5555",
            "fax_number": "718-466-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "HOQUE",
        "authorized_official_first_name": "ABU",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-466-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "025605",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02380385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON PHARMACY CORP.",
            "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 Jul 17, 2018; 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.