Marble Hill Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031975 Issued in NY

Legal business name

MARBLE HILL PHARMACY CORP.

Practice address

5243 Broadway
Bronx, NY 10463-7636

Phone

(718) 562-5200

Fax

(718) 562-5300

NPI assigned

May 22, 2013

Last updated

Jan 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vijay J Paghdal, RPH.NPI 1629391222

Title

President

Phone

(718) 562-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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.

• Vijay J. Paghdal, RPH., PHARMD.

  • Pharmacist
  • Bronx, NY
  • NPI 1629391222
  NPD Authorized official

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1316384977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637636",
            "telephone_number": "718-562-5200",
            "fax_number": "718-562-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637636",
            "telephone_number": "718-562-5200",
            "fax_number": "718-562-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE HILL PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "PAGHDAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-562-5200",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03616020",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY REGISTRATION NUMBER",
            "identifier": "031975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R Marantz, MD
• Francesca Giulia Maraschin
• Lea Marbe
• Marble Hill Dental Office, PC
• Marble Hill Medical of New York LLC
• Sedinam Marble-Baker, LPN
• Marc M Silverman MD PC
• Marc Vital-Herne Physician,P.C
• Olinda Marcano Medranda
• Eddie Marcano, MPS, LCSW

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.