Organization Active NPI

Linda Dept Store Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1407861024
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LINDA DEPT STORE INC
Practice address
438 E 149TH St
Bronx, NY 10455-1304
Phone
(718) 585-5005
Fax
(718) 585-6701
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Reemon Banbahji
Title
President
Phone
(718) 585-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027409 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

438 E 149TH St
Bronx, NY 10455-1304

Mailing address

438 E 149TH St
Bronx, NY 10455-1304

Other identifiers 1

IdentifierTypeStateIssuer
3350078OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407861024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551304",
            "telephone_number": "718-585-5005",
            "fax_number": "718-585-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA DEPT STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BANBAHJI",
        "authorized_official_first_name": "REEMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-585-5005"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027409",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3350078",
            "state": null
        }
    ],
    "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 Sep 11, 2025; 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.