Active NPI
Gayatri Pharmacy Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1124032545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 023454
- Legal business name
- GAYATRI PHARMACY INC
- Practice address
- 2465 University Ave
Bronx, NY 10468-5602 - Phone
- (718) 220-4253
- Fax
- (718) 584-6824
- NPI assigned
- Jul 28, 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
- Mr. Dhanesh Bhogilal Shah, SUPERVISING-RPH
- Title
- V.P Supervising Pharmacist
- Phone
- (718) 220-4253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 023454 | NY | Primary |
Addresses
Primary practice location
2465 University Ave
Bronx, NY 10468-5602
Mailing address
2465 University Ave
Bronx, NY 10468-5602
Phone (718) 220-4253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01764901 | Medicaid | NY |
Other names 1
- University Avenue Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057630 | NY | DME Supplier - Pharmacy | 7214131960 | Practice locations: Bronx, NY |
| O20250422002256 | NY | Part B Supplier - Pharmacy | 7214131960 | Practice locations: Bronx, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Gayatri Pharmacy Inc | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
103 W 188 St
Bronx, NY 10468
Phone (718) 220-4253
2465 University Ave
Bronx, NY 10468
Phone (718) 220-4253
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hartsdale, NY
- NPI 1659694412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423008000000",
"number": "1124032545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 UNIVERSITY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104685602",
"telephone_number": "718-220-4253",
"fax_number": "718-584-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 UNIVERSITY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104685602",
"telephone_number": "718-220-4253",
"fax_number": "718-584-6824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAYATRI PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2015-02-04",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "DHANESH",
"authorized_official_middle_name": "BHOGILAL",
"authorized_official_title_or_position": "V.P SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-220-4253",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SUPERVISING-RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "023454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01764901",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Avenue Pharmacy",
"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 Feb 4, 2015; 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.