Sedgwick Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SEDGWICK PHARMACY INC

Doing business as

Sedgwick Pharmacy

Practice address

3887 Sedgwick Ave
Bronx, NY 10463-4401

Phone

(718) 543-3116

Fax

(718) 543-1071

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Vincent MazzamutoNPI 1154422582

Title

President

Phone

(718) 543-3116

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sedgwick Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Mazzamuto, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1154422582
  NPD Authorized official
• Adam Agovino, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1134348899
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1154377190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634401",
            "telephone_number": "718-543-3116",
            "fax_number": "718-543-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634401",
            "telephone_number": "718-543-3116",
            "fax_number": "718-543-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGWICK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MAZZAMUTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-543-3116"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0436120001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00301799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedgwick Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hilda Selasi Seckley-Brown
• Hazel Reyes Secreto, PT
• Sector Wide Health Inc
• Alberto Seda, R.PH.
• Mahsa Sedaghati, M.D.
• Sedgwick Pharmacy Inc
• Josephine Sedita
• Lucie Sedlacek, MD
• Ludmila Sedlackova, M.D
• Sedon Transportation Inc.

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.