Organization Active NPI

Nexmed Pharmacy LLC.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1427427657
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEXMED PHARMACY LLC.
Practice address
239 W 238TH St
Bronx, NY 10463-2455
Phone
(516) 243-7702
Fax
(516) 243-7703
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Fouzia Ilyas
Title
Owner
Phone
(646) 402-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

239 W 238TH St
Bronx, NY 10463-2455

Mailing address

239 W 238TH St
Bronx, NY 10463-2455
Phone (516) 243-7702

Other identifiers 1

IdentifierTypeStateIssuer
04701171MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210211001716 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2769769603 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

239 W 238th St
Bronx, NY 10463
Phone (347) 252-6043

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1427427657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W 238TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632455",
            "telephone_number": "516-243-7702",
            "fax_number": "516-243-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 238TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632455",
            "telephone_number": "516-243-7702",
            "fax_number": "516-243-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXMED PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "FOUZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-402-2613"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04701171",
            "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 May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.