Active NPI
L. a. Pharmacy Fitness LLC
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1508324476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- L. A. PHARMACY FITNESS LLC
- Practice address
- 709 E Tremont Ave
Bronx, NY 10457-5001 - Phone
- (917) 962-4444
- Fax
- (917) 962-4451
- NPI assigned
- Mar 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Niyazov
- Title
- Supervising Pharmacist
- Phone
- (917) 962-4444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
709 E Tremont Ave
Bronx, NY 10457-5001
Mailing address
709 E Tremont Ave
Bronx, NY 10457-5001
Phone (917) 962-4444
Other names 1
- LA FARMACIA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190830002329 | NY | DME Supplier - Pharmacy | 2163751066 | Practice locations: Bronx, NY |
| O20220727000342 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163751066 | Practice locations: Bronx, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| L. a. Pharmacy Fitness LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1831471192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1508324476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575001",
"telephone_number": "917-962-4444",
"fax_number": "917-962-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575001",
"telephone_number": "917-962-4444",
"fax_number": "917-962-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L. A. PHARMACY FITNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-08",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "NIYAZOV",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "917-962-4444"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LA FARMACIA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LA FARMACIA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.