Organization Active NPI

Bdesh Inc.

Doing business as Suffern Pharmacy

  • Community/Retail Pharmacy
  • Suffern, NY
National Provider Identifier
1114358884
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032316 Issued in NY
Legal business name
BDESH INC.
Doing business as
Suffern Pharmacy
Practice address
24 Lafayette Ave
Suffern, NY 10901-5406
Phone
(845) 547-2331
Fax
(845) 547-2330
NPI assigned
Dec 6, 2013
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Mohammed Daud Hosain-BhuiyanNPI 1538491154
Title
Owner
Phone
(914) 806-2111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032316 NY Primary

Addresses

Primary practice location

24 Lafayette Ave
Suffern, NY 10901-5406

Mailing address

24 Lafayette Ave
Suffern, NY 10901-5406
Phone (845) 547-2331

Other identifiers 1

IdentifierTypeStateIssuer
032316OtherNYRETAIL PHARMACY LICENSE NUMBER

Other names 1

  • SUFFERN 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
O20140710000480 NY DME Supplier - Pharmacy 0749405561 Practice locations: Suffern, NY
O20210722002019 NY Part B Supplier - Pharmacy 0749405561 Practice locations: Suffern, 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
Bdesh, Inc24 Lafayette Ave, Suffern, NY 10901-5406(845) 547-2331 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 1, 2014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1114358884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015406",
            "telephone_number": "845-547-2331",
            "fax_number": "845-547-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015406",
            "telephone_number": "845-547-2331",
            "fax_number": "845-547-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDESH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HOSAIN-BHUIYAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "DAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-806-2111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY LICENSE NUMBER",
            "identifier": "032316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUFFERN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUFFERN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.