Active NPI
Laurus Corp.
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1386960680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029963
- Legal business name
- LAURUS CORP.
- Practice address
- 2395 Grand Concourse
Bronx, NY 10468-6823 - Phone
- (347) 590-2863
- Fax
- (347) 590-2864
- NPI assigned
- Apr 12, 2010
- 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
- Liang Zheng
- Title
- President
- Phone
- (347) 590-2863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029963 | NY | Primary |
Addresses
Primary practice location
2395 Grand Concourse
Bronx, NY 10468-6823
Mailing address
2395 Grand Concourse
Bronx, NY 10468-6823
Phone (347) 590-2863
Other names 1
- NEW CONCOURSE 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 |
|---|---|---|---|---|
| O20220404001107 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113111410 | Practice locations: Bronx, NY |
| O20220412001999 | NY | Part B Supplier - Pharmacy | 7113111410 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1174851661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292544000000",
"number": "1386960680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686823",
"telephone_number": "347-590-2863",
"fax_number": "347-590-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686823",
"telephone_number": "347-590-2863",
"fax_number": "347-590-2864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURUS CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-12",
"last_updated": "2010-12-17",
"status": "A",
"authorized_official_last_name": "ZHENG",
"authorized_official_first_name": "LIANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-590-2863"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW CONCOURSE 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 Dec 17, 2010; 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.