Organization Active NPI

Bedford Pharmacy LLC

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1447292909
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026941 Issued in NY
Legal business name
BEDFORD PHARMACY LLC
Practice address
387 Bedford Park Blvd
Bronx, NY 10458-2422
Phone
(718) 933-1154
Fax
(718) 365-0202
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Vipul Paghdal, BS, PHARMDNPI 1144477811
Title
Pharm D / Pharmacist
Phone
(718) 933-1154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026941 NY Primary

Addresses

Primary practice location

387 Bedford Park Blvd
Bronx, NY 10458-2422

Mailing address

387 Bedford Park Blvd
Bronx, NY 10458-2422
Phone (718) 933-1154

Other identifiers 2

IdentifierTypeStateIssuer
02594829MedicaidNY
2060384OtherPK

Other names 1

  • LEROY PHARMACY IV Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930023146 NY DME Supplier - Pharmacy 5193935369 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Leroy Pharmacy IV387 Bedford Park Blvd, Bronx, NY 10458-2422(718) 933-1154 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Locations

392B Bedford Park Blvd
Bronx, NY 10458
Phone (718) 684-8864

Practitioners & affiliated clinicians

Practitioners 1

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1447292909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 BEDFORD PARK BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582422",
            "telephone_number": "718-933-1154",
            "fax_number": "718-365-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 BEDFORD PARK BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582422",
            "telephone_number": "718-933-1154",
            "fax_number": "718-365-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "PAGHDAL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "PHARM D / PHARMACIST",
        "authorized_official_telephone_number": "718-933-1154",
        "authorized_official_credential": "BS, PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594829",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEROY PHARMACY IV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEROY PHARMACY IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.