872 Hpa Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029530 Issued in NY

Legal business name

872 HPA DRUG CORP

Doing business as

Boca Pharmacy

Practice address

736 E 152ND St
Bronx, NY 10455-2203

Phone

(718) 292-2088

Fax

(718) 929-4884

NPI assigned

Sep 20, 2006

Last updated

Jun 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yarisa Deleon

Title

Bookkeeper

Phone

(718) 971-9391

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Boca Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1477650307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740054",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104740001",
            "telephone_number": "718-292-2088",
            "fax_number": "718-292-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 E 152ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552203",
            "telephone_number": "718-292-2088",
            "fax_number": "718-929-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "872 HPA DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "YARISA",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "718-971-9391"
    },
    "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": "029530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02207023",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.