Pelham Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

032726 Issued in NY

Legal business name

PELHAM PHARMACY INC

Practice address

2171 White Plains Rd
Bronx, NY 10462-1405

Phone

(917) 708-9700

Fax

(917) 708-9702

NPI assigned

Apr 19, 2014

Organization subpart

No

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

Authorized official

Name

Houssam Nasser, PHARMD

Title

Vice President

Phone

(347) 419-6737

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherif Anis

  • Pharmacist
  • Bronx, NY
  • NPI 1750562674
  NPD

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417219200000",
    "number": "1518387331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621405",
            "telephone_number": "917-708-9700",
            "fax_number": "917-708-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621405",
            "telephone_number": "917-708-9700",
            "fax_number": "917-708-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-19",
        "last_updated": "2014-11-29",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "347-419-6737",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "032726",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032726",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "032726",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "032726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelham Medical Associates, PC
• Pelham Parkway Dental Associates PC
• Pelham Parkway Nursing Care & Rehabilitation Facility, LLC
• Pelham Parkway SC LLC
• Pelham Parkway Vision Center Inc
• Pelham Physical Medicine Inc
• Pelham Physical Medicine Inc
• Pelham Pkwy Medical of New York LLC
• Pelham Pkwy Professional Medical Services of New York LLC
• Pelham Podiatry Group PC

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2014; 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.