Organization Active NPI

Bronxcare Special Care Center

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1104861541
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
025609 Issued in NY
Legal business name
BRONXCARE SPECIAL CARE CENTER
Practice address
1276 Fulton Ave
6TH Floor
Bronx, NY 10456
Phone
(718) 579-7006
Fax
(718) 579-7401
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Victor George Demarco
Title
Cfo
Phone
(718) 901-8600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 025609 NY Primary

Addresses

Primary practice location

1276 Fulton Ave
6TH Floor
Bronx, NY 10456

Mailing address

1265 Fulton Ave
Bronx, NY 10456-3401
Phone (718) 579-7006

Other names 1

  • BronxCare Special Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bronx Lebanon Special Car2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1276 Fulton Ave
Fl 6
Bronx, NY 10456
Phone (718) 579-7006

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1104861541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563401",
            "telephone_number": "718-579-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "address_2": "6TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "718-579-7006",
            "fax_number": "718-579-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXCARE SPECIAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-901-8600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "025609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BronxCare Special Care Center",
            "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 Nov 26, 2019; 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.