Oval Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

033722 Issued in NY

Legal business name

OVAL PHARMACY CORP

Practice address

1500 Metropolitan Ave
Bronx, NY 10462-6801

Phone

(718) 823-0688

Fax

(718) 823-1149

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Jayshree Desai

Title

President

Phone

(718) 823-0688

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OVAL DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

1500 Met Drug 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.

• Oval Pharmacy Corp

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1750789830
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sameer Venjara

  • Pharmacist
  • Bronx, NY
  • NPI 1043675663
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1134213549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626801",
            "telephone_number": "718-823-0688",
            "fax_number": "718-823-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626801",
            "telephone_number": "718-823-0688",
            "fax_number": "718-823-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVAL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "JAYSHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-823-0688"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "033722",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04295089",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVAL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.