Organization Active NPI

Choice One Pharma Inc

Doing business as Choice One Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1609250505
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHOICE ONE PHARMA INC
Doing business as
Choice One Pharmacy
Practice address
1550 University Ave
Bronx, NY 10452-1503
Phone
(718) 450-8922
Fax
(718) 450-8926
NPI assigned
Jul 10, 2015
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mr. Devang Raval
Title
Pharmacy Manager / Pharmacist
Phone
(718) 450-8922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1550 University Ave
Bronx, NY 10452-1503

Mailing address

1550 University Ave
Bronx, NY 10452-1503
Phone (718) 450-8922

Other names 1

  • CHOICE ONE PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160127002539 NY DME Supplier - Pharmacy 9234432055 Practice locations: Bronx, NY
O20230125001791 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9234432055 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1609250505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521503",
            "telephone_number": "718-450-8922",
            "fax_number": "718-450-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521503",
            "telephone_number": "718-450-8922",
            "fax_number": "718-450-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE ONE PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_title_or_position": "PHARMACY MANAGER / PHARMACIST",
        "authorized_official_telephone_number": "718-450-8922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICE ONE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHOICE ONE 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 Oct 6, 2020; 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.