B&a Pharmacy Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

B&A PHARMACY CORP

Practice address

252 Port Richmond Ave Ste B
Staten Island, NY 10302-1740

Phone

(718) 556-0942

Fax

(718) 509-3578

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Boris Natenzon

Title

Ceo

Phone

(917) 734-4662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ENEXIA HEALTHCARE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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 2

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

• Polina Glazman

  • Pharmacist
  • Staten Island, NY
  • NPI 1255794343
  NPD (past)
• Diana Keddis

  • Pharmacy
  • Staten Island, NY
  • NPI 1447734330
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1336359850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102446",
            "telephone_number": "718-720-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 PORT RICHMOND AVE STE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021740",
            "telephone_number": "718-556-0942",
            "fax_number": "718-509-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&A PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "NATENZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-734-4662"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602546",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "surgicalsupply@enexiaspecialty.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "252 Port Richmond Ave Ste B",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103021740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ENEXIA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Ann Azzarelli, NP
• Kristen Azzopardi
• Rita Azzopardi, M.SC
• B & T West Brighton Pharmacy Inc.
• B & T West Brighton Pharmacy Inc.
• B&T Port Richmond Pharmacy Inc.
• B&V Optical
• B&Voptical
• Nadeem Baalbaki, PHARMD
• Inna Babakhanova

• Durable Medical Equipment & Medical Supplies in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.