Allerton Park Pharmacy Inc – Pharmacy in Bronx, NY

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

Section 1128b(8) exclusion effective Nov 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPI: 1376533083
Entity type: Organization (NPI type 2)
Primary specialty: Pharmacy 333600000X
License: 018137 (NY)
Legal business name: ALLERTON PARK PHARMACY INC
Practice address: 645 Allerton Ave
Bronx, NY 10467-7403
Phone: (718) 881-0555
Fax: (718) 881-8697
NPI assigned: Oct 24, 2005
Organization subpart: No

Authorized official

Name: Mr. Maurice Malin, RPH
Title: Pres
Phone: (718) 881-0555

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Julio A Cantos, R.P.H. Pharmacist · Bronx, NY · NPI 1790010197

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy	333600000X	018137	NY	Yes

Addresses

Primary practice location

645 Allerton Ave
Bronx, NY 10467-7403

Mailing address

645 Allerton Ave
Bronx, NY 10467-7403
Phone (718) 881-0555

Other identifiers

Identifier	Type	State	Issuer
00824924	Medicaid	NY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2011.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1376533083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677403",
            "telephone_number": "718-881-0555",
            "fax_number": "718-881-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677403",
            "telephone_number": "718-881-0555",
            "fax_number": "718-881-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERTON PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-881-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "018137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00824924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

All providers in Bronx, NY · Pharmacy in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
OIG LEIE (HHS Office of Inspector General).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.