Organization Active NPI

Victoria RX Inc

Doing business as Purple Specialty Pharmacy

  • Specialty Pharmacy
  • Bronx, NY
National Provider Identifier
1184305559
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
VICTORIA RX INC
Doing business as
Purple Specialty Pharmacy
Practice address
1573 West Farms Road
Bronx, NY 10460
Phone
(646) 933-0225
Fax
(646) 933-0226
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Ms. Andrea Beltre
Title
Manager
Phone
(646) 933-0225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1573 West Farms Road
Bronx, NY 10460

Mailing address

1573 West Farms Road
Bronx, NY 10460
Phone (646) 933-0225

Other names 1

  • Purple Specialty Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231107002352 NY Part B Supplier - Pharmacy 8729435151 Practice locations: Bronx, NY
O20240819000193 NY DME Supplier - Pharmacy 8729435151 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1184305559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 WEST FARMS ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "646-933-0225",
            "fax_number": "646-933-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 WEST FARMS ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "646-933-0225",
            "fax_number": "646-933-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BELTRE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-933-0225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purple Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 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.