Active NPI
Lolys Pharmacy Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1255997102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LOLYS PHARMACY INC
- Practice address
- 21 W 183Rd St
Bronx, NY 10453-1233 - Phone
- (917) 737-8253
- Fax
- (917) 737-8255
- NPI assigned
- May 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anaberlin Bencosme
- Title
- President
- Phone
- (646) 727-6315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
21 W 183Rd St
Bronx, NY 10453-1233
Mailing address
21 W 183Rd St
Bronx, NY 10453-1233
Phone (917) 737-8253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220926000512 | NY | Part B Supplier - Pharmacy | 5193159093 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryLocations
21 W 183rd St
Bronx, NY 10453
Phone (917) 737-8253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1255997102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W 183RD ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104531233",
"telephone_number": "917-737-8253",
"fax_number": "917-737-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W 183RD ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104531233",
"telephone_number": "917-737-8253",
"fax_number": "917-737-8255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOLYS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "BENCOSME",
"authorized_official_first_name": "ANABERLIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-727-6315",
"authorized_official_name_prefix": "Ms."
},
"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 May 16, 2019; 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.