NPIMap

Organization Active NPI

Mt. Carmel Pharmacy Inc

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1225125628
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
20988 Issued in NY
Legal business name
MT. CARMEL PHARMACY INC
Practice address
705 E 187TH St
Bronx, NY 10458-6803
Phone
(718) 364-6100
Fax
(718) 365-6421
NPI assigned
Oct 6, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Mr. Armand T. Paganelli
Title
Secretary/Owner
Phone
(718) 364-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 20988 NY Primary

Addresses

Primary practice location

705 E 187TH St
Bronx, NY 10458-6803

Mailing address

705 E 187TH St
Bronx, NY 10458-6803
Phone (718) 364-6100

Other identifiers 1

IdentifierTypeStateIssuer
01272962MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930079217 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5991817678 Practice locations: Bronx, NY
O20150727002317 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5991817678 Practice locations: Bronx, NY
O20220430000002 NY Part B Supplier - Pharmacy 5991817678 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

705 E 187th St
Bronx, NY 10458
Phone (718) 364-6100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1225125628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 187TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586803",
            "telephone_number": "718-364-6100",
            "fax_number": "718-365-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 187TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586803",
            "telephone_number": "718-364-6100",
            "fax_number": "718-365-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. CARMEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "PAGANELLI",
        "authorized_official_first_name": "ARMAND",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SECRETARY/OWNER",
        "authorized_official_telephone_number": "718-364-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "20988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272962",
            "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 Oct 20, 2020; 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.