Organization Active NPI

Zamzam Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1063775096
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031333 Issued in NY
Legal business name
ZAMZAM PHARMACY INC
Doing business as
Zamzam Pharmacy
Practice address
524 Morris Ave
Bronx, NY 10451-5536
Phone
(718) 401-6799
Fax
(718) 401-6794
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Tariq Siddiqui
Title
Owner, President, Ao
Phone
(718) 401-6799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031333 NY Primary

Addresses

Primary practice location

524 Morris Ave
Bronx, NY 10451-5536

Mailing address

524 Morris Ave
Bronx, NY 10451-5536
Phone (718) 401-6799

Other identifiers 2

IdentifierTypeStateIssuer
03485678MedicaidNY
2135773OtherPK

Other names 1

  • Zamzam Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1063775096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515536",
            "telephone_number": "718-401-6799",
            "fax_number": "718-401-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515536",
            "telephone_number": "718-401-6799",
            "fax_number": "718-401-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAMZAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, AO",
        "authorized_official_telephone_number": "718-401-6799"
    },
    "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": "031333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03485678",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zamzam Pharmacy",
            "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 Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.