NPIMap

Organization Active NPI

75 Burnside Drug and Surgical Inc

Doing business as Burnside Pharmacy LTC

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1194531020
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
75 BURNSIDE DRUG AND SURGICAL INC
Doing business as
Burnside Pharmacy LTC
Practice address
75 W Burnside Ave
Bronx, NY 10453-4015
Phone
(718) 731-8505
Fax
(718) 731-8127
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mr. Varghese AbrahamNPI 1558518399
Title
Vice President/Pharmacist
Phone
(718) 731-8505

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
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

75 W Burnside Ave
Bronx, NY 10453-4015

Mailing address

75 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 731-8505

Other names 1

  • BURNSIDE PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
75 Burnside Drug and Surgical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1194531020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-731-8505",
            "fax_number": "718-731-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-731-8505",
            "fax_number": "718-731-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "75 BURNSIDE DRUG AND SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "VARGHESE",
        "authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "718-731-8505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURNSIDE PHARMACY LTC",
            "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 Dec 5, 2024; 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.