Organization Active NPI

Fordham Family Pharmacy & Surgical Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1477978468
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FORDHAM FAMILY PHARMACY & SURGICAL INC.
Practice address
202 W Fordham Rd
Bronx, NY 10468
Phone
(917) 801-1801
Fax
(917) 801-1803
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Gaurav KothariNPI 1235260902
Title
Secretary
Phone
(917) 801-1801

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 Primary

Addresses

Primary practice location

202 W Fordham Rd
Bronx, NY 10468

Mailing address

202 W Fordham Rd
Bronx, NY 10468-5520
Phone (917) 801-1801

Other identifiers 1

IdentifierTypeStateIssuer
03876675MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202000519 NY Part B Supplier - Pharmacy 7810110459 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

202 W Fordham Rd
Frnt 1
Bronx, NY 10468
Phone (917) 801-1801

202 W Fordham Rd
Bronx, NY 10468
Phone (718) 220-7232

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": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1477978468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685520",
            "telephone_number": "917-801-1801",
            "fax_number": "917-801-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "917-801-1801",
            "fax_number": "917-801-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM FAMILY PHARMACY & SURGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "917-801-1801"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03876675",
            "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 Dec 1, 2025; 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.