Active NPI
Park Plaza Pharma Inc.
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1336446376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PARK PLAZA PHARMA INC.
- Doing business as
- PARK PLAZA PHARMACY
- Practice address
- 1773 University Ave
Bronx, NY 10453-6924 - Phone
- (718) 583-5900
- Fax
- (718) 716-1876
- NPI assigned
- Feb 25, 2011
- 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
- Dr. Amish Patel, PHARMD
- Title
- Pharmacist and Vice President
- Phone
- (718) 583-5900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1773 University Ave
Bronx, NY 10453-6924
Mailing address
1773 University Avenue
Bronx, NY 10453
Phone (718) 583-5900
Other names 1
- PARK PLAZA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110923000044 | NY | DME Supplier - Pharmacy | 9638340615 | Practice locations: Bronx, NY |
| O20210119000764 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638340615 | Practice locations: Bronx, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Park Plaza Pharma Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bronx, NY
- NPI 1720818685
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 1790941169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1336446376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 UNIVERSITY AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10453",
"telephone_number": "718-583-5900",
"fax_number": "718-716-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 UNIVERSITY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104536924",
"telephone_number": "718-583-5900",
"fax_number": "718-716-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK PLAZA PHARMA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-25",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMISH",
"authorized_official_title_or_position": "PHARMACIST AND VICE PRESIDENT",
"authorized_official_telephone_number": "718-583-5900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PARK PLAZA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
- Park Gardens Rehabilitation and Nursing Center LLC
- Park Gardens Rehabilitation and Nursing Center LLC
- Park Gardens Rehabilitation and Nursing Center Long Term Home Health C
- Park Medical Associates of New York PC
- Park NJ Podiatry PC
- Park Plaza Pharma Inc.
- Park South Dental P.L.L.C.
- Park South Medical PLLC
- Aileen Park, M.D.
- Amy Park
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.