Organization Active NPI

Bakers Drugs LLC.

  • Community/Retail Pharmacy
  • Saint Albans, NY
National Provider Identifier
1033516653
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033229 Issued in NY
Legal business name
BAKERS DRUGS LLC.
Practice address
20543 Linden Blvd
Saint Albans, NY 11412-2925
Phone
(718) 749-5988
Fax
(347) 894-8366
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Khaled AliNPI 1104178060
Title
Pharmacy Supervisor
Phone
(718) 749-5988

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033229 NY Primary

Addresses

Primary practice location

20543 Linden Blvd
Saint Albans, NY 11412-2925

Mailing address

20543 Linden Blvd
Saint Albans, NY 11412-2925
Phone (718) 749-5988

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150527002434 NY DME Supplier - Pharmacy 8123348455 Practice locations: St Albans, NY
O20201201001408 NY Part B Supplier - Pharmacy 8123348455 Practice locations: Saint Albans, NY

National Provider Directory

National Provider Directory

Locations

20543 Linden Blvd
Saint Albans, NY 11412
Phone (718) 749-5988

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1033516653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20543 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122925",
            "telephone_number": "718-749-5988",
            "fax_number": "347-894-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20543 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122925",
            "telephone_number": "718-749-5988",
            "fax_number": "347-894-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERS DRUGS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "718-749-5988"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.