Organization Active NPI

Willis Care Pharmacy Inc

Doing business as Willis pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1275143737
Registry record updated Dec 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WILLIS CARE PHARMACY INC
Doing business as
Willis pharmacy
Practice address
208 Willis Ave
Bronx, NY 10454-4844
Phone
(718) 585-5300
NPI assigned
Aug 8, 2020
Last updated
Dec 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2020

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

Authorized official

Name
Muhammad Rashid
Title
President
Phone
(917) 608-3103

Specialties & licenses 1

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

Addresses

Primary practice location

208 Willis Ave
Bronx, NY 10454-4844

Mailing address

208 Willis Ave
Bronx, NY 10454-4844
Phone (718) 585-5300

Other names 1

  • Willis pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201112001726 NY DME Supplier - Pharmacy 9537579024 Practice locations: Bronx, NY
O20260219001534 NY Part B Supplier - Pharmacy 9537579024 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608854400000",
    "number": "1275143737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544844",
            "telephone_number": "718-585-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544844",
            "telephone_number": "718-585-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-12-25",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-608-3103"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 25, 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.