Active NPI
Bianca A Caraballo, PHARMACIST
- Pharmacist
- Bronx, NY
National Provider Identifier
1386966034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036511
- Practice address
- 55 Westchester SQ
Bronx, NY 10461-3525 - Phone
- (718) 239-6149
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- 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 | 036511 | NY | Primary |
Addresses
Primary practice location
55 Westchester SQ
Bronx, NY 10461-3525
Mailing address
55 Westchester SQ
Bronx, NY 10461-3525
Phone (718) 239-6149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036511 | Other | NY | NYS LIC # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036511 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1386966034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WESTCHESTER SQ",
"city": "BRONX",
"state": "NY",
"postal_code": "104613525",
"telephone_number": "718-239-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WESTCHESTER SQ",
"city": "BRONX",
"state": "NY",
"postal_code": "104613525",
"telephone_number": "718-239-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABALLO",
"first_name": "BIANCA",
"middle_name": "A",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LIC #",
"identifier": "036511",
"state": "NY"
}
],
"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 Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.