Organization Active NPI

Lolys Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1255997102
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on May 16, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20220926000512 NY Part B Supplier - Pharmacy 5193159093 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.