Active NPI
Concourse Drugs Inc.
- Pharmacy
- Bronx, NY
National Provider Identifier
1316934342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 024368
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01928707 | Medicaid | NY | |
| 024368 | Other | NY | PHARMACY LICENCE NUMBER |
Other names 1
- FRIENDLY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930096939 | NY | DME Supplier - Pharmacy | 4981812708 | Practice locations: Bronx, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Concourse Drugs Inc | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember 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
- 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.
-
- Pharmacist
- Bronx, NY
- NPI 1568627511
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.