Organization Active NPI

Cedra Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1255766226
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CEDRA PHARMACY INC
Practice address
3027 3Rd Ave
Bronx, NY 10455-2647
Phone
(917) 473-7788
Fax
(917) 473-7789
NPI assigned
Sep 10, 2013
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mr. Mazen S Karnaby
Title
President
Phone
(917) 836-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3027 3Rd Ave
Bronx, NY 10455-2647

Mailing address

724 Elton Ave
Bronx, NY 10455-1687
Phone (917) 836-8886

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140221001270 NY DME Supplier - Pharmacy 4880824671 Practice locations: Bronx, NY
O20210211001294 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4880824671 Practice locations: Bronx, NY
O20260415003688 NY Part B Supplier - Pharmacy 4880824671 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
Cedra Pharmacy Inc3027 3Rd Ave, Bronx, NY 10455-2647(917) 473-7788 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2022

National Provider Directory

National Provider Directory

Locations

3027 3rd Ave
Bronx, NY 10455
Phone (917) 473-7788

Practitioners & affiliated clinicians

Practitioners 4

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1255766226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ELTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551687",
            "telephone_number": "917-836-8886",
            "fax_number": "917-473-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552647",
            "telephone_number": "917-473-7788",
            "fax_number": "917-473-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDRA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KARNABY",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-836-8886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2023; 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.