Organization Active NPI

Ben-Tal Pharmacy Services, Inc.

Doing business as CHCC Pharmacy

  • Clinic Pharmacy
  • Bronx, NY
National Provider Identifier
1568495257
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
025346 Issued in NY
Legal business name
BEN-TAL PHARMACY SERVICES, INC.
Doing business as
CHCC Pharmacy
Practice address
305 E 161St St
Bronx, NY 10451-3535
Phone
(718) 410-4711
Fax
(718) 410-8055
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Gina Hunt
Title
Senior VP Corporate Revenue
Phone
(954) 653-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 025346 NY Primary

Addresses

Primary practice location

305 E 161St St
Bronx, NY 10451-3535

Mailing address

305 E 161St St
Bronx, NY 10451-3535
Phone (718) 410-4711

Other identifiers 1

IdentifierTypeStateIssuer
02249498MedicaidNY

Other names 1

  • CHCC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ben-Tal Pharmacy Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

305 E 161st St
Bronx, NY 10451
Phone (718) 410-4711

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1568495257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 161ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513535",
            "telephone_number": "718-410-4711",
            "fax_number": "718-410-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 161ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513535",
            "telephone_number": "718-410-4711",
            "fax_number": "718-410-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-TAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SENIOR VP CORPORATE REVENUE",
        "authorized_official_telephone_number": "954-653-1040"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "025346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHCC Pharmacy",
            "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 Nov 4, 2008; 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.