Organization Active NPI

Park Plaza Pharma Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1336446376
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Amish Patel, PHARMDNPI 1790941169
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "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

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.

Verify at the official NPI Registry.