Baraka Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030997 Issued in NY

Legal business name

BARAKA INC

Doing business as

Express Pharmacy

Practice address

2088 White Plains Rd
Bronx, NY 10462-1412

Phone

(347) 691-3333

Fax

(347) 691-3332

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Mohamed Eladma

Title

Owner

Phone

(347) 691-3333

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Express Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1578834321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621412",
            "telephone_number": "347-691-3333",
            "fax_number": "347-691-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621412",
            "telephone_number": "347-691-3333",
            "fax_number": "347-691-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "ELADMA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-691-3333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030997",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03455401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Baracaldo, MS, MT-BC, LCAT
• Hafusah Baragi
• Maria Jose Barahona Andrade, MD
• Leonor Barahona
• Marco Ruben Barahona, MS
• Barakat PT PC
• Firas Lutfi Barakat, M.D.
• Kathleen Firas Barakat, MD
• Maged Barakat, M.D.
• Nestor Baranjouk, DMD

• 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 Dec 12, 2014; 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.