Organization Active NPI

Manhattan RX LLC

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1366884363
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032221 Issued in NY
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

Updated by the provider on Oct 2, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2142647OtherPK
03695916MedicaidNY

Other names 1

  • BOSTON ROAD 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
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 Pharmacy2 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.

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.

Verify at the official NPI Registry.