Organization Active NPI

Oz Pharma Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1124414560
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033596 Issued in NY
Legal business name
OZ PHARMA INC
Practice address
322 E 149TH St
Bronx, NY 10451-5613
Phone
(718) 292-8892
Fax
(718) 292-8311
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Swapna Kakulavaram
Title
Manager
Phone
(718) 292-8892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 033596 NY Primary

Addresses

Primary practice location

322 E 149TH St
Bronx, NY 10451-5613

Mailing address

322 E 149TH St
Bronx, NY 10451-5613
Phone (718) 292-8892

Other identifiers 1

IdentifierTypeStateIssuer
2152689OtherPK

Other names 1

  • OZ 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
O20150925001589 NY DME Supplier - Pharmacy 6204144108 Practice locations: Bronx, NY
O20220629002130 NY Part B Supplier - Pharmacy 6204144108 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Oz Pharma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1124414560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515613",
            "telephone_number": "718-292-8892",
            "fax_number": "718-292-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515613",
            "telephone_number": "718-292-8892",
            "fax_number": "718-292-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZ PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "KAKULAVARAM",
        "authorized_official_first_name": "SWAPNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-292-8892"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152689",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OZ PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OZ 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 Apr 28, 2022; 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.

Verify at the official NPI Registry.