Organization Active NPI

Charmar Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1225043623
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018707 Issued in NY
Legal business name
CHARMAR INC
Practice address
781 Lydig Ave
Bronx, NY 10462-2144
Phone
(718) 822-1348
Fax
(718) 822-1792
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Mr. Gennadiy Matatov, R.PH.NPI 1295057552
Title
President
Phone
(718) 822-1348

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
Community/Retail Pharmacy 3336C0003X 018707 NY Primary

Addresses

Primary practice location

781 Lydig Ave
Bronx, NY 10462-2144

Mailing address

781 Lydig Ave
Bronx, NY 10462-2144
Phone (718) 822-1348

Other identifiers 1

IdentifierTypeStateIssuer
00902025MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930070396 NY DME Supplier - PharmacyDME Supplier - Orthotic Personnel 1456471515 Practice locations: Bronx, NY
O20230201001473 NY Part B Supplier - Pharmacy 1456471515 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
Charmar Inc781 Lydig Ave, Bronx, NY 10462-2144(718) 822-1348 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Dec 7, 2021

National Provider Directory

National Provider Directory

Locations

781 Lydig Ave
Bronx, NY 10462
Phone (718) 822-1348

Practitioners & affiliated clinicians

Practitioners 2

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1225043623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622144",
            "telephone_number": "718-822-1348",
            "fax_number": "718-822-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622144",
            "telephone_number": "718-822-1348",
            "fax_number": "718-822-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "MATATOV",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-822-1348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00902025",
            "state": "NY"
        }
    ],
    "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 Aug 26, 2022; 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.