Goodman Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

033940 Issued in NY

Legal business name

GOODMAN PLAZA PHARMACY INC

Doing business as

Goodman Plaza Pharmacy Inc

Practice address

3250 3Rd Ave
Bronx, NY 10456-6743

Phone

(347) 590-9102

Fax

(347) 590-9103

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Natwar Gevaria

Title

President

Phone

(347) 590-9102

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Goodman Plaza Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• DBG Security Drugs Inc.

  • Pharmacist
  • Bronx, NY
  • NPI 1558357541

  Member Of

  NPD member
• Urvi Pharmacy Inc

  • Pharmacy
  • Bronx, NY
  • NPI 1790094365

  Member Of

  NPD member

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1174999270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566743",
            "telephone_number": "347-590-9102",
            "fax_number": "347-590-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566743",
            "telephone_number": "347-590-9102",
            "fax_number": "347-590-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "GEVARIA",
        "authorized_official_first_name": "NATWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-590-9102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodman Plaza Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenenea Chanel Goodley
• Kimberly Narie Goodlitt-Creary, LMSW
• Emily Goodloe, MD
• Chioma Stella Goodluck, NURSE PRACTITIONER
• Goodman Pharmacy LLC
• Bryan Nicholas Goodman, DDS
• Marianne Goodman, M.D.
• Nina Glenda Goodman
• Robert Lehr Goodman, M.D.
• Stephanie Michelle Goodman, D.O.

• 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 Jul 27, 2016; 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.