Organization Active NPI

New Pelham Parkway Pharmacy Inc.

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1396820593
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
022512 Issued in NY
Legal business name
NEW PELHAM PARKWAY PHARMACY INC.
Practice address
1469 Beach Ave
Bronx, NY 10460-3630
Phone
(718) 409-0908
Fax
(718) 822-3127
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Mr. Shahid Qadeer Chohan, RPH
Title
Pharmacist President
Phone
(718) 409-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 022512 NY Primary

Addresses

Primary practice location

1469 Beach Ave
Bronx, NY 10460-3630

Mailing address

1469 Beach Ave
Bronx, NY 10460-3630
Phone (718) 409-0908

Other identifiers 1

IdentifierTypeStateIssuer
01568941MedicaidNY

Other names 1

  • Pelham Parkway 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
O20100930093404 NY DME Supplier - Pharmacy 8628286960 Practice locations: Bronx, NY
O20231002000181 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8628286960 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
New Pelham Parkway Pharmacy, Inc.1469 Beach Ave, Bronx, NY 10460-3659(718) 409-0908 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Apr 23, 2004

National Provider Directory

National Provider Directory
Tax ID family
New Pelham Parkway Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1396820593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 BEACH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603630",
            "telephone_number": "718-409-0908",
            "fax_number": "718-822-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 BEACH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603630",
            "telephone_number": "718-409-0908",
            "fax_number": "718-822-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PELHAM PARKWAY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "CHOHAN",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_middle_name": "QADEER",
        "authorized_official_title_or_position": "PHARMACIST  PRESIDENT",
        "authorized_official_telephone_number": "718-409-0908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01568941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelham Parkway 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 Jan 24, 2013; 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.