Organization Active NPI

Tu Farmacia Inc

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1174694855
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
018558 Issued in NY
Legal business name
TU FARMACIA INC
Practice address
553 Southern Blvd
Bronx, NY 10455-3762
Phone
(718) 292-8513
Fax
(718) 292-5246
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Syed Hasan Momin, PHARMACISTNPI 1154645315
Title
President
Phone
(718) 292-8513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 018558 NY Primary

Addresses

Primary practice location

553 Southern Blvd
Bronx, NY 10455-3762

Mailing address

553 Southern Blvd
Bronx, NY 10455-3762
Phone (718) 292-8513

Other identifiers 3

IdentifierTypeStateIssuer
00923193MedicaidNY
018558OtherNYNY STATE BOARD OF PHARMAC
3384C55OtherNABP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930075340 NY DME Supplier - Pharmacy 9739384090 Practice locations: Bronx, NY
O20250407001409 NY Part B Supplier - Pharmacy 9739384090 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Tu Farmacia Inc553 Southern Blvd, Bronx, NY 10455-3762(718) 292-8513 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 1, 2025

National Provider Directory

National Provider Directory

Locations

553 Southern Blvd
Bronx, NY 10455
Phone (718) 292-8513

Practitioners & affiliated clinicians

Practitioners 3

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174694855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553762",
            "telephone_number": "718-292-8513",
            "fax_number": "718-292-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553762",
            "telephone_number": "718-292-8513",
            "fax_number": "718-292-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU FARMACIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-292-8513",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00923193",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF PHARMAC",
            "identifier": "018558",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3384C55",
            "state": null
        }
    ],
    "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 Mar 7, 2023; 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.