Bardonia Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

019812 Issued in NY

Legal business name

BARDONIA DRUG INC

Practice address

4 Bardonia Mall
Bardonia, NY 10954-1647

Phone

(845) 623-8200

Fax

(845) 623-4148

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Moushira IskanderNPI 1134279193

Title

President

Phone

(845) 623-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moushira Iskander, BSC

  • Pharmacist
  • Bardonia, NY
  • NPI 1134279193
  NPD (past) Authorized official
• Nabil Awad

  • Pharmacist
  • Central Valley, NY
  • NPI 1790092492
  NPD
• Joseph Anthony Ghabour, PHARM.D.

  • Pharmacist
  • Bardonia, NY
  • NPI 1538473699
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1497089528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BARDONIA MALL",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541647",
            "telephone_number": "845-623-8200",
            "fax_number": "845-623-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BARDONIA MALL",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541647",
            "telephone_number": "845-623-8200",
            "fax_number": "845-623-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDONIA DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "ISKANDER",
        "authorized_official_first_name": "MOUSHIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-623-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01099605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabinda Anwar, D.D.S.
• Nora Asamoah
• Bardonia Ambulette & Invalid Coach Service,Inc.
• Bardonia Chiropractic Office, PLLC
• Bardonia Dental PLLC
• Bardonia Pediatric Assoc
• Bardonia Pharmacy LLC
• Bardonia Pharmacy LLC
• Nichole Marie Bergin, LMT
• Stuart Binder, OTR/L

• All providers in Bardonia, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.