Organization Active NPI

DBG Security Drugs Inc.

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1558357541
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024415 Issued in NY
Legal business name
DBG SECURITY DRUGS INC.
Practice address
3419 Boston Rd
Bronx, NY 10469-2501
Phone
(718) 654-6974
Fax
(718) 882-4648
NPI assigned
Sep 23, 2005
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Mr. Natwar G GevariaNPI 1215184908
Title
Supervising Pharmacist
Phone
(718) 654-6974

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 024415 NY Primary

Addresses

Primary practice location

3419 Boston Rd
Bronx, NY 10469-2501

Mailing address

3419 Boston Rd
Bronx, NY 10469-2501
Phone (718) 654-6974

Other identifiers 2

IdentifierTypeStateIssuer
3329554OtherNYNCPDP NUMBER
01912665MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930041518 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7911028279 Practice locations: Bronx, NY
O20151027001121 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7911028279 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
DBG Security Drugs Inc3419 Boston Rd, Bronx, NY 10469-2501(718) 654-6974 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supp… Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

3419 Boston Rd
Bronx, NY 10469
Phone (718) 654-6974

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1558357541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692501",
            "telephone_number": "718-654-6974",
            "fax_number": "718-882-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692501",
            "telephone_number": "718-654-6974",
            "fax_number": "718-882-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBG SECURITY DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "GEVARIA",
        "authorized_official_first_name": "NATWAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-654-6974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3329554",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01912665",
            "state": "NY"
        }
    ],
    "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 Feb 29, 2012; 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.