Elmhurst RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029136 Issued in NY

Legal business name

ELMHURST RX INC

Doing business as

Fulton Care Pharmacy

Practice address

557 E 169TH St
Bronx, NY 10456-2625

Phone

(347) 918-8700

Fax

(347) 918-8701

NPI assigned

Oct 14, 2008

Last updated

Mar 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Imran KazmiNPI 1619134012

Title

President

Phone

(917) 449-0086

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Fulton Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Elmhurst RX 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.

• Elmhurst RX Inc

  • Long Term Care Pharmacy
  • Bronx, NY
  • NPI 1174478093
  NPD tax ID

Locations

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.

• Imran S Kazmi, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1619134012
  NPD Authorized official
• Igor Borukhov, RPH

  • Pharmacist
  • Elmhurst, NY
  • NPI 1811172919
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1255583928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E 169TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562625",
            "telephone_number": "347-918-8700",
            "fax_number": "347-918-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E 169TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562625",
            "telephone_number": "347-918-8700",
            "fax_number": "347-918-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-449-0086"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029136",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064564",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117617",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Elman, NP
• Jessica Elmendorf, MS,ED
• Elmer Arteaga Medical PC
• Abdu A Elmetwally, PT
• Elmhurst RX Inc
• Elmhurst Star Pharmacy Inc. (Concourse Pharmcy)
• Fadima Mohamed Warsame Elmi, MD
• Izzeldin Abdelrahman Khogali Elmubarak
• Elizabeth Elohim
• Tarek Elrafei, D.O.

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.