Individual provider Active NPI

Johnny Markovic, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1407970981
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050490 Issued in NY
Practice address
1998 Bruckner Blvd
Bronx, NY 10473-2500
Phone
(718) 430-9513
Fax
(718) 430-1589
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050490 NY Primary

Addresses

Primary practice location

1998 Bruckner Blvd
Bronx, NY 10473-2500

Mailing address

1998 Bruckner Blvd
Bronx, NY 10473-2500
Phone (718) 430-9513

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
050490NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407970981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732500",
            "telephone_number": "718-430-9513",
            "fax_number": "718-430-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732500",
            "telephone_number": "718-430-9513",
            "fax_number": "718-430-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "JOHNNY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050490",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.