Active NPI
Morris Park Pharmacy Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1114551256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MORRIS PARK PHARMACY INC
- Practice address
- 1160 E Tremont Ave
Bronx, NY 10460-2452 - Phone
- (631) 458-7258
- Fax
- (631) 458-7259
- NPI assigned
- Feb 27, 2020
- 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
- Yahia A Aldailam
- Title
- President
- Phone
- (631) 458-7258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1160 E Tremont Ave
Bronx, NY 10460-2452
Mailing address
1160 E Tremont Ave
Bronx, NY 10460-2452
Phone (631) 458-7258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200528000771 | NY | DME Supplier - Pharmacy | 7315368438 | Practice locations: Bronx, NY |
| O20231004002360 | NY | Part B Supplier - Pharmacy | 7315368438 | Practice locations: Bronx, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Morris Park Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bronx, NY
- NPI 1528923570
Locations
1160 E Tremont Ave
Bronx, NY 10460
Phone (631) 458-7258
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1780285452
-
- Pharmacist
- Bronx, NY
- NPI 1992415483
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1255964904
-
- Pharmacist
- Bronx, NY
- NPI 1114675774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686614400000",
"number": "1114551256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104602452",
"telephone_number": "631-458-7258",
"fax_number": "631-458-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104602452",
"telephone_number": "631-458-7258",
"fax_number": "631-458-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRIS PARK PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-27",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "ALDAILAM",
"authorized_official_first_name": "YAHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-458-7258"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Morris Heights Health Center, Inc.
- Morris Heights Health Center, Inc.
- Morris Heights Health Center, Inc.
- Morris Medical Office,PC
- Morris Park Family Chiropractic P.C.
- Morris Park Pharmacy Inc
- Morris Park Physical Therapy Services PC
- Morris Park Rehabilitation and Nursing Center LLC
- Morris Physical Therapy, PC
- Morris Wellness Oasis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.