2027 Alico Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028927 Issued in NY

Legal business name

2027 ALICO PHARMACY CORP

Doing business as

Alico Pharmacy

Practice address

2027 Jerome Ave
Bronx, NY 10453-1803

Phone

(718) 294-1949

Fax

(718) 294-5993

NPI assigned

May 17, 2007

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandy Rodriguez

Title

Secretary

Phone

(718) 294-1949

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ALICO PHARMACY Doing business as

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1518174440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531803",
            "telephone_number": "718-294-1949",
            "fax_number": "718-294-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531803",
            "telephone_number": "718-294-1949",
            "fax_number": "718-294-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2027 ALICO PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-294-1949"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2961700",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALICO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 184TH St Pharmacy Corp
• 1St Bronxcare Pharmacy Inc
• 1St Bronxcare Pharmacy Inc
• 2 Hands 2 Help Inc
• 2 Maries Transportation Service LLC
• 2070 Pharmacy Corp (Tu Salud Pharmacy)
• 2354 Chiropractic PC
• 25 Westchester Square Optical Corp (Metro Optics Eyewear II)
• 2550 Boston PT PC
• 2Aim2Please LLC

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.