Active NPI
Blondell RX Ny LLC
- Long Term Care Pharmacy
- Bronx, NY
National Provider Identifier
1356965636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- BLONDELL RX NY LLC
- Practice address
- 1642 Eastchester Rd
Bronx, NY 10461-2316 - Phone
- (347) 691-3494
- Fax
- (347) 691-3496
- NPI assigned
- Jun 3, 2020
- 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
- Gari Basin
- Title
- Pic
- Phone
- (347) 691-3494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1642 Eastchester Rd
Bronx, NY 10461-2316
Mailing address
1047 Surf Ave FL 2
Brooklyn, NY 11224-2810
Phone (917) 830-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210326000403 | NY | Part B Supplier - Pharmacy | 9032526603 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Blondell RX Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Brooklyn, NY
- NPI 1992234454
Locations
1642 Eastchester Rd
Bronx, NY 10461
Phone (347) 691-3494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1356965636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 SURF AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112242810",
"telephone_number": "917-830-2522",
"fax_number": "917-722-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104612316",
"telephone_number": "347-691-3494",
"fax_number": "347-691-3496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLONDELL RX NY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-03",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "BASIN",
"authorized_official_first_name": "GARI",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "347-691-3494"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 4, 2023; 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.