Organization Active NPI

Gayatri Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1124032545
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023454 Issued in NY
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

Updated by the provider on Feb 4, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01764901MedicaidNY

Other names 1

  • University Avenue 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
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 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
Gayatri Pharmacy Inc2465 University Ave, Bronx, NY 10468-5602(718) 220-4523 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 assignmentParticipating since Oct 27, 2006

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.