Active NPI
Nexmed Pharmacy LLC.
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1427427657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04701171 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210211001716 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2769769603 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Flushing, NY
- NPI 1508134131
-
- Pharmacist
- Bronx, NY
- NPI 1497087092
-
- Pharmacist
- Bronx, NY
- NPI 1184086365
-
- Pharmacist
- Ridgewood, NY
- NPI 1881148252
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.