Active NPI
Bronxcare Special Care Center
- Long Term Care Pharmacy
- Bronx, NY
National Provider Identifier
1104861541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 025609
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Bronx Lebanon Special Car
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1639255797
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.