Organization Active NPI

Bronx Specialty Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1447607080
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034669 Issued in NY
Legal business name
BRONX SPECIALTY PHARMACY INC
Doing business as
Bronx Specialty Pharmacy Inc
Practice address
940A Southern Blvd
Bronx, NY 10459-3402
Phone
(718) 328-2800
Fax
(718) 328-2700
NPI assigned
May 24, 2016
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Erik Moiseyev
Title
President
Phone
(718) 328-2800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 034669 NY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

940A Southern Blvd
Bronx, NY 10459-3402

Mailing address

940A Southern Boulevard
Bronx, NY 10459-3402
Phone (718) 328-2800

Other identifiers 2

IdentifierTypeStateIssuer
04676862MedicaidNY
2160933OtherPK

Other names 1

  • BRONX SPECIALTY PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170323002410 NY DME Supplier - Pharmacy 0840575320 Practice locations: Bronx, NY
O20230301002809 NY Part B Supplier - Pharmacy 0840575320 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
Bronx Specialty Pharmacy Inc940A Southern Blvd, Bronx, NY 10459-3402(718) 328-2800 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 6, 2017

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

940 Southern Blvd
#A
Bronx, NY 10459
Phone (718) 328-2800

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1447607080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940A SOUTHERN BOULEVARD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593402",
            "telephone_number": "718-328-2800",
            "fax_number": "718-328-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940A SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593402",
            "telephone_number": "718-328-2800",
            "fax_number": "718-328-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MOISEYEV",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-328-2800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034669",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04676862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRONX SPECIALTY PHARMACY INC",
            "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 Sep 19, 2025; 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.