Burnside RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BURNSIDE RX INC

Doing business as

FARMACIA VIDA

Practice address

9 W Burnside Ave
Bronx, NY 10453-4003

Phone

(718) 684-4260

Fax

(718) 684-4261

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Angela Verhoturova

Title

President

Phone

(718) 684-4260

Specialties & licenses 1

Addresses

Other names 1

• FARMACIA VIDA Doing business as

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1154981157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534003",
            "telephone_number": "718-684-4260",
            "fax_number": "718-684-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534003",
            "telephone_number": "718-684-4260",
            "fax_number": "718-684-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSIDE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "VERHOTUROVA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-684-4260"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA VIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Paul Burns
• Summer Rae Burns, LMSW
• Burnside Dental and Orthodontics
• Burnside Optical Inc.
• Burnside Pharmacy Corp
• Melissa Nicole Burnside, MD, MHS
• Toni Ann Burrel
• Joy Burrell-Clarke, LPN
• Chelsea Burrell
• Francis Burrell, FNP

• 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 Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.