Individual provider Active NPI

Rebecca Sultana

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1396920237
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050319 Issued in NY
Practice address
2750 Boston Rd
Bronx, NY 10469-4127
Phone
(718) 405-2127
Fax
(718) 405-5962
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050319 NY Primary

Addresses

Primary practice location

2750 Boston Rd
Bronx, NY 10469-4127

Mailing address

2750 Boston Rd
Bronx, NY 10469-4127
Phone (718) 405-2127

Other practice location 1

3040 Eastchester Rd
Bronx, NY 10469-3202
Phone (718) 320-5101

Other practice location 2

2158 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 892-2288

Other identifiers 1

IdentifierTypeStateIssuer
00270420MedicaidNY

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

LicenseStateTypeSpecialty
050319NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1396920237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694127",
            "telephone_number": "718-405-2127",
            "fax_number": "718-405-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694127",
            "telephone_number": "718-405-2127",
            "fax_number": "718-405-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104693202",
            "country_code": "US",
            "telephone_number": "718-320-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2158 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104621406",
            "country_code": "US",
            "telephone_number": "718-892-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00270420",
            "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 Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.