Organization Active NPI

Bronxville Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronxville, NY
National Provider Identifier
1356955454
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRONXVILLE PHARMACY INC
Practice address
57 Pondfield Rd W
Bronxville, NY 10708-2632
Phone
(914) 346-5600
Fax
(914) 268-2874
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Umair Ijaz
Title
President
Phone
(914) 346-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

57 Pondfield Rd W
Bronxville, NY 10708-2632

Mailing address

57 Pondfield Rd W
Bronxville, NY 10708-2632
Phone (914) 346-5600

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210127002370 NY DME Supplier - Pharmacy 1153735428 Practice locations: Bronxville, NY
O20220722001480 NY Part B Supplier - Pharmacy 1153735428 Practice locations: Bronxville, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Bronxville Pharmacy Inc57 Pondfield Rd W, Bronxville, NY 10708-2632(914) 346-5600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 2, 2022

National Provider Directory

National Provider Directory

Locations

57 Pondfield Rd W
Bronxville, NY 10708
Phone (914) 346-5600

Practitioners & affiliated clinicians

Practitioners 2

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": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1356955454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PONDFIELD RD W",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107082632",
            "telephone_number": "914-346-5600",
            "fax_number": "914-268-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PONDFIELD RD W",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107082632",
            "telephone_number": "914-346-5600",
            "fax_number": "914-268-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "UMAIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-346-5600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.