Organization Active NPI

Mosholu Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1023728250
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MOSHOLU PHARMACY INC
Practice address
3529 Jerome Ave
Bronx, NY 10467-1050
Phone
(718) 749-0270
Fax
(718) 749-0262
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jeffrey Sarkodie
Title
President
Phone
(917) 557-0279

Specialties & licenses 1

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

Addresses

Primary practice location

3529 Jerome Ave
Bronx, NY 10467-1050

Mailing address

3529 Jerome Ave
Bronx, NY 10467-1050
Phone (718) 749-0270

Other identifiers 1

IdentifierTypeStateIssuer
07700461MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MOSHOLUPHARMACY@GMAIL.COM Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424000038 NY Part B Supplier - Pharmacy 0941665160 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

3529 Jerome Ave
Bronx, NY 10467
Phone (718) 749-0270

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1023728250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671050",
            "telephone_number": "718-749-0270",
            "fax_number": "718-749-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671050",
            "telephone_number": "718-749-0270",
            "fax_number": "718-749-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHOLU PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "SARKODIE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-557-0279"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07700461",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MOSHOLUPHARMACY@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3529 Jerome Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104671050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 21, 2025; 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.