Organization Active NPI

Pinebrook Pharmacy, Inc.

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1124003694
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
026916 Issued in NY
Legal business name
PINEBROOK PHARMACY, INC.
Practice address
1183 Jerome Ave
Bronx, NY 10452-3331
Phone
(718) 992-8182
Fax
(718) 992-8184
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Manoj Barot, B. S. PHARMACY
Title
President
Phone
(718) 992-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 026916 NY Primary

Addresses

Primary practice location

1183 Jerome Ave
Bronx, NY 10452-3331

Mailing address

1183 Jerome Ave
Bronx, NY 10452-3331
Phone (718) 992-8182

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1124003694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523331",
            "telephone_number": "718-992-8182",
            "fax_number": "718-992-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523331",
            "telephone_number": "718-992-8182",
            "fax_number": "718-992-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEBROOK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "BAROT",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-992-8182",
        "authorized_official_credential": "B. S. PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "026916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 2008; 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.