Active NPI
Manhattan RX LLC
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1366884363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032221
- Legal business name
- MANHATTAN RX LLC
- Doing business as
- BOSTON ROAD PHARMACY
- Practice address
- 3456 Boston Rd
Bronx, NY 10469-2512 - Phone
- (718) 733-4150
- Fax
- (718) 733-4151
- NPI assigned
- Jul 19, 2013
- 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
- Naveen Chigurupati
- Title
- Pharmacy Manager
- Phone
- (718) 733-4150
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 032221 | NY | Primary |
Addresses
Primary practice location
3456 Boston Rd
Bronx, NY 10469-2512
Mailing address
3456 Boston Road
Bronx, NY 10469
Phone (718) 733-4150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2142647 | Other | PK | |
| 03695916 | Medicaid | NY |
Other names 1
- BOSTON ROAD 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 |
|---|---|---|---|---|
| O20131108001339 | NY | DME Supplier - Pharmacy | 5092940544 | Practice locations: Bronx, NY |
| O20260415003194 | NY | Part B Supplier - Pharmacy | 5092940544 | Practice locations: Bronx, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Boston Road Pharmacy
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 1306653167
Locations
2262 Webster Ave
Bronx, NY 10457
Phone (347) 879-8144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601596800000",
"number": "1366884363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 BOSTON ROAD",
"city": "BRONX",
"state": "NY",
"postal_code": "10469",
"telephone_number": "718-733-4150",
"fax_number": "718-733-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 BOSTON RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104692512",
"telephone_number": "718-733-4150",
"fax_number": "718-733-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANHATTAN RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-19",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A",
"authorized_official_last_name": "CHIGURUPATI",
"authorized_official_first_name": "NAVEEN",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "718-733-4150"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "032221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2142647",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03695916",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BOSTON ROAD PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BOSTON ROAD 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 Oct 2, 2020; 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.