Active NPI
Andre Rawle Charles, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1497366447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066780
- Practice address
- 1332 Commerce Ave FRNT 3
Bronx, NY 10461-3612 - Phone
- (347) 612-8456
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 066780 | NY | Primary |
Addresses
Primary practice location
1332 Commerce Ave FRNT 3
Bronx, NY 10461-3612
Mailing address
4111 Parsons Blvd Apt 205
Flushing, NY 11355-1920
Phone (347) 276-7037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066780 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vega Pharmacy Inc. | Current | Accepting new patients |
Locations
1332 Commerce Ave
Frnt 3
Bronx, NY 10461
Phone (347) 293-4855
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1497366447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 PARSONS BLVD APT 205",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113551920",
"telephone_number": "347-276-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 COMMERCE AVE FRNT 3",
"city": "BRONX",
"state": "NY",
"postal_code": "104613612",
"telephone_number": "347-612-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "ANDRE",
"middle_name": "RAWLE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066780",
"primary": true
}
],
"identifiers": [],
"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 Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.