Active NPI
Mario M Hernandez, R.PH.
- Pharmacist
- Bronx, NY
National Provider Identifier
1376870204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040336
- Practice address
- 5669 Riverdale Ave
Bronx, NY 10471-2105 - Phone
- (718) 543-7500
- Fax
- (718) 543-1421
- NPI assigned
- Nov 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040336 | NY | Primary |
Addresses
Primary practice location
5669 Riverdale Ave
Bronx, NY 10471-2105
Mailing address
5669 Riverdale Ave
Bronx, NY 10471-2105
Phone (718) 543-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040336 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus & 103Rd St Drug Corp | Past | Accepting new patients | |
| MSC Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1346307311
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1508648387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1376870204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5669 RIVERDALE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712105",
"telephone_number": "718-543-7500",
"fax_number": "718-543-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 RIVERDALE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712105",
"telephone_number": "718-543-7500",
"fax_number": "718-543-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARIO",
"middle_name": "M",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-13",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040336",
"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 Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.