Organization Active NPI

Star Pharma Inc.

Doing business as Starhill Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1396070561
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029738 Issued in NY
Legal business name
STAR PHARMA INC.
Doing business as
Starhill Pharmacy
Practice address
115 Featherbed LN
Bronx, NY 10452-1615
Phone
(718) 466-1790
Fax
(718) 466-1790
NPI assigned
Oct 6, 2009
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ramakrishna Aravapalli
Title
Supervising Pharmacist
Phone
(718) 466-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029738 NY Primary

Addresses

Primary practice location

115 Featherbed LN
Bronx, NY 10452-1615

Mailing address

115 Featherbed LN
Bronx, NY 10452-1615
Phone (718) 466-1790

Other identifiers 2

IdentifierTypeStateIssuer
3363265OtherNYNCPDP PROVIDER IDENTIFICATION NUMBER
02510561MedicaidNY

Other names 1

  • STARHILL 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
O20100930020030 NY DME Supplier - Pharmacy 4880885169 Practice locations: Bronx, NY
O20250624002777 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4880885169 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Stars Hill Pharmacy115 Featherbed LN, Bronx, NY 10452-1615(718) 466-1790 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Enteral Nutrients|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 28, 2010

National Provider Directory

National Provider Directory

Locations

115 Featherbed Ln
Bronx, NY 10452
Phone (718) 466-1790

115 Featherbed Ln
#A
Bronx, NY 10452
Phone (718) 466-1790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1396070561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FEATHERBED LN",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521615",
            "telephone_number": "718-466-1790",
            "fax_number": "718-466-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FEATHERBED LN",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521615",
            "telephone_number": "718-466-1790",
            "fax_number": "718-466-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHARMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "ARAVAPALLI",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-466-1790"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3363265",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02510561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARHILL 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 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.