Bronx Family Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

032530 Issued in NY

Legal business name

BRONX FAMILY PHARMACY CORP

Practice address

1800 White Plains Rd
Bronx, NY 10462-1408

Phone

(718) 828-3450

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Mansour Mansour

Title

Owner

Phone

(718) 828-3450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 1

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

• Mansour Mohamed Issam Mansour, DO

  • Emergency Medicine Physician
  • Taylor, MI
  • NPI 1366002735
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1154748937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621408",
            "telephone_number": "718-828-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621408",
            "telephone_number": "718-828-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX FAMILY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MANSOUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-828-3450"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "032530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Eye Care Optometry, PLLC
• Bronx Eyecare Optometry
• Bronx Family Eye Care Inc
• Bronx Family Eye Care Inc
• Bronx Family Eye Care Inc
• Bronx Family Physical Therapy P.C.
• Bronx Foot Care PC
• Bronx Foot Rehabilitation Associates
• Bronx Foot Rehabilitation Associates
• Bronx Foot Specialists

• 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 Oct 24, 2016; 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.