Mercedes Pharmacy Corp

Primary specialty

PharmacistTaxonomy code 183500000X

License

037320 Issued in NY

Legal business name

MERCEDES PHARMACY CORP

Practice address

514 Willis Ave
Bronx, NY 10455-4028

Phone

(718) 292-7979

Fax

(718) 701-0974

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Johnson

Title

Vice President

Phone

(718) 292-7979

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1184848335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554028",
            "telephone_number": "718-292-7979",
            "fax_number": "718-701-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554028",
            "telephone_number": "718-292-7979",
            "fax_number": "718-701-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-292-7979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02707546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes Mercado
• Ramon Mercado
• Bridget B Mercaldi, RNP
• Mercedes Ambulette Service LLC
• Mercedes Drug Corp
• Abigail Mercedes, BSN-RN
• Hector Luis Mercedes, DDS
• Joann Mercedes, CPNP
• Marilyn Mercedes, PHARMD
• Nancy Ramona Mercedes

• Pharmacist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.