Organization Active NPI

Lafayette Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1053863431
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034825 Issued in NY
Legal business name
LAFAYETTE FAMILY PHARMACY INC
Practice address
849 Soundview Ave
Bronx, NY 10473-3903
Phone
(718) 618-7205
Fax
(718) 618-7204
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Abdulrab Alsayedi
Title
President/Owner
Phone
(718) 618-7205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 034825 NY Primary

Addresses

Primary practice location

849 Soundview Ave
Bronx, NY 10473-3903

Mailing address

849 Soundview Ave
Bronx, NY 10473-3903
Phone (718) 618-7205

Other identifiers 1

IdentifierTypeStateIssuer
2166195OtherPK

Other names 1

  • LAFAYETTE FAMILY PHARMACY INC. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170920002931 NY DME Supplier - Pharmacy 9638443237 Practice locations: Bronx, NY
O20250501000819 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9638443237 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Layayette Family Pharmacy Inc849 Soundview Ave, Bronx, NY 10473-3903(718) 618-7205 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 21, 2017

National Provider Directory

National Provider Directory

Locations

849 Soundview Ave
Bronx, NY 10473
Phone (718) 618-7205

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1053863431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 SOUNDVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733903",
            "telephone_number": "718-618-7205",
            "fax_number": "718-618-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 SOUNDVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733903",
            "telephone_number": "718-618-7205",
            "fax_number": "718-618-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "ALSAYEDI",
        "authorized_official_first_name": "ABDULRAB",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-618-7205"
    },
    "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": "034825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAFAYETTE FAMILY PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAFAYETTE FAMILY PHARMACY INC.",
            "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 Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.