Amazing Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035175 Issued in NY

Legal business name

AMAZING COMMUNITY PHARMACY LLC

Doing business as

Amazing Pharmacy

Practice address

595 E Tremont Ave
Bronx, NY 10457-4727

Phone

(718) 466-1122

Fax

(718) 466-7747

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Sarathchandra AdusumalliNPI 1639461759

Title

Supervising Pharmacist

Phone

(718) 466-1122

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AMAZING PHARMACY Doing business as

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bobs Pharmacy LLC

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1497237622

  Member Of

  NPD member

Locations

Practitioners 1

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

• Sarathchandra Adusumalli

  • Pharmacist
  • Brooklyn, NY
  • NPI 1639461759
  NPD Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1114460235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574727",
            "telephone_number": "718-466-1122",
            "fax_number": "718-466-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574727",
            "telephone_number": "718-466-1122",
            "fax_number": "718-466-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "ADUSUMALLI",
        "authorized_official_first_name": "SARATHCHANDRA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-466-1122"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166959",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04660651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Amato, LMSW
• Jose Alejandro Amaya Suarez, MD
• Shaela P Amaya, LMHC
• Ralph Berdjomy Amazan, MD
• Rod Amazan, NP
• Amazing Great Beauty of Science
• Amazing Home Care Inc.
• Amazing Home Care Services LLC
• Amazing Home Care Services, LLC
• Amazon Wellbeing Services

• 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 Nov 20, 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.