Organization Active NPI

Melrose RX Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1174295273
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MELROSE RX INC
Practice address
730 Courtlandt Ave
Bronx, NY 10451-7800
Phone
(718) 618-7444
Fax
(718) 618-7433
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mr. Felix Gomez
Title
President
Phone
(718) 618-7444

Specialties & licenses 1

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

Addresses

Primary practice location

730 Courtlandt Ave
Bronx, NY 10451-7800

Mailing address

730 Courtlandt Ave
Bronx, NY 10451-7800
Phone (718) 618-7444

Other identifiers 1

IdentifierTypeStateIssuer
038962OtherNYNY PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20221128000089 NY Part B Supplier - Pharmacy 4284002155 Practice locations: Bronx, NY
O20230605001436 NY DME Supplier - Pharmacy 4284002155 Practice locations: Bronx, NY
O20251216003435 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4284002155 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1174295273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104517800",
            "telephone_number": "718-618-7444",
            "fax_number": "718-618-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104517800",
            "telephone_number": "718-618-7444",
            "fax_number": "718-618-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-618-7444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PHARMACY LICENSE",
            "identifier": "038962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 29, 2024; 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.