Active NPI
Webster 123 Pharmacy Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1407263023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 033125
- Legal business name
- WEBSTER 123 PHARMACY INC
- Doing business as
- webster ave pharmacy
- Practice address
- 1231 Webster Ave
Bronx, NY 10456-3373 - Phone
- (718) 618-0802
- Fax
- (718) 618-0804
- NPI assigned
- Jul 15, 2014
- 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
- Aqeel Ahmed
- Title
- President
- Phone
- (201) 931-5900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 033125 | NY | Primary |
Addresses
Primary practice location
1231 Webster Ave
Bronx, NY 10456-3373
Mailing address
1231 Webster Ave
Bronx, NY 10456-3373
Phone (718) 618-0802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04024264 | Medicaid | NY | |
| 2150766 | Other | PK |
Other names 1
- webster ave pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480377600000",
"number": "1407263023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 WEBSTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563373",
"telephone_number": "718-618-0802",
"fax_number": "718-618-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 WEBSTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563373",
"telephone_number": "718-618-0802",
"fax_number": "718-618-0804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER 123 PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-15",
"last_updated": "2016-11-29",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "AQEEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-931-5900"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "033125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04024264",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2150766",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "webster ave 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 Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.