Active NPI
Percida Amada Bello, PHARMACIST
- Pharmacist
- Bronx, NY
National Provider Identifier
1447435219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047438-1
- Practice address
- 253B East 149TH Street
Bronx, NY 10451 - Phone
- (718) 402-9104
- Fax
- (718) 665-8255
- NPI assigned
- Dec 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047438-1 | NY | Primary |
Addresses
Primary practice location
253B East 149TH Street
Bronx, NY 10451
Mailing address
56-05 62ND Avenue
Maspeth, NY 11378
Phone (347) 935-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01729271 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047438-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisar Pharmacy Inc | Current | Accepting new patients |
Locations
253 E 149th St
#B
Bronx, NY 10451
Phone (718) 402-9104
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1821122532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1447435219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56-05 62ND AVENUE",
"city": "MASPETH",
"state": "NY",
"postal_code": "11378",
"telephone_number": "347-935-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253B EAST 149TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-402-9104",
"fax_number": "718-665-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "PERCIDA",
"middle_name": "AMADA",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-29",
"last_updated": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047438-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01729271",
"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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.