Organization Active NPI

L. a. Pharmacy Fitness LLC

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1508324476
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
David NiyazovNPI 1831471192
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
L. a. Pharmacy Fitness LLC709 E Tremont Ave, Bronx, NY 10457-5001(917) 962-4444 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 27, 2022

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.