Palmville Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030932 Issued in NY

Legal business name

PALMVILLE PHARMACY

Practice address

799 Allerton Ave
Bronx, NY 10467

Phone

(718) 547-7600

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Adeshina Shon BamigbadeNPI 1730411356

Title

Pharmacist/Owner

Phone

(718) 547-7600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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

• Adeshina Shon Bamigbade

  • Pharmacist
  • Bronx, NY
  • NPI 1730411356
  NPD Authorized official

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530662400000",
    "number": "1093096810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678909",
            "telephone_number": "718-547-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-547-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2018-07-04",
        "status": "A",
        "authorized_official_last_name": "BAMIGBADE",
        "authorized_official_first_name": "ADESHINA",
        "authorized_official_middle_name": "SHON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "718-547-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030932",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanikqua Renee Palmer, LMSW
• Sophia Natalie Palmer, M.D.
• Susanne Palmer, SOCIAL WORK INTERN
• Karina Marie Palmieri, LMSW
• Danielle C Palmisano, LMSW
• Anthony Palomba
• Cristian Palomino
• Gabriella Palomino
• Sara Palomino, DNP
• Yesenia Palomino, LMSW

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.