Swami Narayan Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

023460 Issued in NY

Legal business name

SWAMI NARAYAN PHARMACY INC

Doing business as

Supervalue Pharmacy Inc

Practice address

3457 Boston Rd
Bronx, NY 10469-2508

Phone

(718) 881-2260

Fax

(718) 652-8599

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter M Pervaz

Title

Manager

Phone

(718) 881-2260

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUPERVALUE PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1356478812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692508",
            "telephone_number": "718-881-2260",
            "fax_number": "718-652-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692508",
            "telephone_number": "718-881-2260",
            "fax_number": "718-652-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAMI NARAYAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PERVAZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-881-2260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01764910",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERVALUE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.