Organization Active NPI

Webster 123 Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1407263023
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033125 Issued in NY
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

Updated by the provider on Nov 29, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04024264MedicaidNY
2150766OtherPK

Other names 1

  • webster ave pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.