Organization Active NPI

Concourse Drugs Inc.

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1316934342
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
024368 Issued in NY
Legal business name
CONCOURSE DRUGS INC.
Practice address
3137 Grand Concourse
Bronx, NY 10468-1401
Phone
(718) 733-8528
Fax
(718) 733-8529
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Mr. Iqbal Karim
Title
Secretary
Phone
(718) 733-8528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 024368 NY Primary

Addresses

Primary practice location

3137 Grand Concourse
Bronx, NY 10468-1401

Mailing address

3137 Grand Concourse
Bronx, NY 10468-1401
Phone (718) 733-8528

Other identifiers 2

IdentifierTypeStateIssuer
01928707MedicaidNY
024368OtherNYPHARMACY LICENCE NUMBER

Other names 1

  • FRIENDLY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930096939 NY DME Supplier - Pharmacy 4981812708 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Concourse Drugs Inc3137 Grand Concourse, Bronx, NY 10468-1401(718) 733-8528 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 5, 2004

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3137 Grand Concourse
Bronx, NY 10468
Phone (718) 733-8528

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAIHAA

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1316934342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681401",
            "telephone_number": "718-733-8528",
            "fax_number": "718-733-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681401",
            "telephone_number": "718-733-8528",
            "fax_number": "718-733-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-733-8528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "024368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01928707",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENCE NUMBER",
            "identifier": "024368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIENDLY 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 Oct 10, 2007; 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.