Individual provider Active NPI

Tushar Pravinbhai Balar

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1316617251
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068137 Issued in NY
Practice address
3547 Johnson Ave
Bronx, NY 10463-1602
Phone
(718) 395-3509
Fax
(718) 395-5695
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068137 NY Primary

Addresses

Primary practice location

3547 Johnson Ave
Bronx, NY 10463-1602

Mailing address

3547 Johnson Ave
Bronx, NY 10463-1602
Phone (718) 395-3509

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068137NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Pharmacy LLC CurrentSince Apr 21, 2024 Accepting new patients
Riverdale Drugs & Surgical, Inc. PastSince Apr 21, 2024 Accepting new patients

Locations

3547 Johnson Ave
Bronx, NY 10463
Phone (718) 395-3509

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1316617251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 JOHNSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631602",
            "telephone_number": "718-395-3509",
            "fax_number": "718-395-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 JOHNSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631602",
            "telephone_number": "718-395-3509",
            "fax_number": "718-395-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAR",
        "first_name": "TUSHAR",
        "middle_name": "PRAVINBHAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "3547 Johnson Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104631602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 16, 2024; 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.