NPIMap

Organization Active NPI

Prospect Ave. Pharmacy Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1306971114
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024632 Issued in NY
Legal business name
PROSPECT AVE. PHARMACY INC.
Practice address
993 Prospect Ave
Bronx, NY 10459-2903
Phone
(718) 328-3593
Fax
(718) 328-3593
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Syed A MuzaffarNPI 1396873469
Title
Secretary
Phone
(718) 328-3593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 024632 NY Primary

Addresses

Primary practice location

993 Prospect Ave
Bronx, NY 10459-2903

Mailing address

993 Prospect Ave
Bronx, NY 10459-2903
Phone (718) 328-3593

Other identifiers 2

IdentifierTypeStateIssuer
02012077MedicaidNY
024632OtherNYNY PHARMACY LIC#

Other names 1

  • LONGWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1306971114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592903",
            "telephone_number": "718-328-3593",
            "fax_number": "718-328-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592903",
            "telephone_number": "718-328-3593",
            "fax_number": "718-328-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT AVE. PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MUZAFFAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-328-3593"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02012077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PHARMACY LIC#",
            "identifier": "024632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGWOOD 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 Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.