Organization Active NPI

Medicine Center RX LLC

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1467607234
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029274 Issued in NY
Legal business name
MEDICINE CENTER RX LLC
Doing business as
Medicine Center Rx LLC
Practice address
92 E 167TH St
Bronx, NY 10452-8203
Phone
(718) 410-2814
Fax
(718) 410-2824
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Neeraj TirunagariNPI 1760638225
Title
President
Phone
(718) 410-2814

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029274 NY Primary

Addresses

Primary practice location

92 E 167TH St
Bronx, NY 10452-8203

Mailing address

92 E 167TH St
Bronx, NY 10452-8203
Phone (718) 410-2814

Other identifiers 1

IdentifierTypeStateIssuer
3360221OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Medicine Center Rx LLC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930009520 NY DME Supplier - Pharmacy 1658579867 Practice locations: Bronx, NY
O20220413000617 NY Part B Supplier - Pharmacy 1658579867 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Member of 2

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

Locations

92 E 167th St
Bronx, NY 10452
Phone (718) 410-2814

Practitioners & affiliated clinicians

Practitioners 2

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1467607234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528203",
            "telephone_number": "718-410-2814",
            "fax_number": "718-410-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528203",
            "telephone_number": "718-410-2814",
            "fax_number": "718-410-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CENTER RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "TIRUNAGARI",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-410-2814"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3360221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Center Rx LLC",
            "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 Feb 1, 2023; 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.

Verify at the official NPI Registry.