Organization Active NPI

Add Health Pharmacy Inc

Doing business as Addhealth Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1093574469
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ADD HEALTH PHARMACY INC
Doing business as
Addhealth Pharmacy
Practice address
2482 Grand Concourse
Bronx, NY 10458-5201
Phone
(718) 483-8144
Fax
(718) 574-9654
NPI assigned
Mar 18, 2024
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Peter Nimoh GyimahNPI 1649451931
Title
Supervising Pharmacist
Phone
(770) 589-3507

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2482 Grand Concourse
Bronx, NY 10458-5201

Mailing address

2482 Grand Concourse
Bronx, NY 10458-5201
Phone (718) 483-8144

Other identifiers 1

IdentifierTypeStateIssuer
8346930001OtherNYMEDICARE

Other names 1

  • Addhealth Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240815003781 NY Part B Supplier - Pharmacy 8224576681 Practice locations: Bronx, NY
O20250204002724 NY DME Supplier - Pharmacy 8224576681 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
Add Health Pharmacy Inc.2482 Grand Concourse, Bronx, NY 10458-5201(718) 483-8144 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 4, 2025

National Provider Directory

National Provider Directory

Locations

2482 Grand Concourse
Bronx, NY 10458
Phone (718) 483-8144

2480 Grand Concourse
Bronx, NY 10458
Phone (718) 887-9995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1093574469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585201",
            "telephone_number": "718-483-8144",
            "fax_number": "718-574-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585201",
            "telephone_number": "718-483-8144",
            "fax_number": "718-574-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADD HEALTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "GYIMAH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "NIMOH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "770-589-3507"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8346930001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addhealth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addhealth 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 Jun 6, 2025; 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.