1 2 3 Pharmacy Inc – Community/Retail Pharmacy

Key facts

NPI: 1427490283
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 031972 (NY)
Legal business name: 1 2 3 PHARMACY INC
Practice address: 764 Burke Avenue
Bronx, NY 10467
Phone: (718) 708-7960
Fax: (718) 706-7962
NPI assigned: Jul 22, 2013
Organization subpart: No

Authorized official

Name: Usman Habib
Title: President
Phone: (718) 708-7960

Practitioners 1

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

Usman Habib Pharmacist · Floral Park, NY · NPI 1336766849

NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
1 2 3 Pharmacy Inc 764 Burke Ave, Bronx, NY 10467-6612 · (718) 708-7960	Epoetin\|Immunosuppressive Drugs\|Infusion Drugs\|Nebulizer Drugs\|Oral Anticancer Drugs\|Oral Antiemetic Drugs	Accepts assignment Participating since Nov 19, 2021

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20131104000483	NY	DME Supplier - Pharmacy	9739314535	Practice locations: Bronx, NY
O20220223001142	NY	Part B Supplier - Mass Immunization (Roster Biller Only)	9739314535	Practice locations: Bronx, NY

National Provider Directory

Locations

764 Burke Ave
Bronx, NY 10467
Phone (718) 708-7960

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	031972	NY	Yes

Addresses

Primary practice location

764 Burke Avenue
Bronx, NY 10467

Mailing address

764 Burke Avenue
Bronx, NY 10467
Phone (718) 708-7960

Other identifiers

Identifier	Type	State	Issuer
03634640	Medicaid	NY

Other names

WE CARE PHARMACY Doing business as

Other providers in Bronx, NY

All providers in Bronx, NY · Community/Retail Pharmacy in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.