Organization Active NPI

Hadoff Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1497460455
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HADOFF PHARMACY INC
Practice address
1515B Southern Blvd
Bronx, NY 10460-5957
Phone
(718) 861-5490
Fax
(718) 861-5493
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mr. Fahad S Choudhary
Title
President
Phone
(162) 985-4325

Specialties & licenses 1

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

Addresses

Primary practice location

1515B Southern Blvd
Bronx, NY 10460-5957

Mailing address

1515B Southern Blvd
Bronx, NY 10460-5957
Phone (718) 861-5491

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231106001640 NY Part B Supplier - Pharmacy 8426405952 Practice locations: Bronx, NY
O20240119001428 NY DME Supplier - Pharmacy 8426405952 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

1515 Southern Blvd
#B
Bronx, NY 10460
Phone (718) 861-5490

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1497460455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515B SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605957",
            "telephone_number": "718-861-5491",
            "fax_number": "718-861-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515B SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605957",
            "telephone_number": "718-861-5490",
            "fax_number": "718-861-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADOFF PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "CHOUDHARY",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "162-985-4325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 Oct 5, 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.