Active NPI
Achtan Inc
- Pharmacist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I046376
- Legal business name
- ACHTAN INC
- Practice address
- 759 Burke Ave
Burke Avenue Pharmacy
Bronx, NY 10467-6611 - Phone
- (347) 326-6000
- Fax
- (347) 326-6100
- NPI assigned
- Jun 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Emerentia Ekokobe
- Title
- Pharmacist /Pharmacy Manager
- Phone
- (347) 326-6000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I046376 | NY | Primary |
Addresses
Primary practice location
759 Burke Ave
Burke Avenue Pharmacy
Bronx, NY 10467-6611
Mailing address
759 Burke Ave
Burke Avenue Pharmacy
Bronx, NY 10467-6611
Phone (347) 326-6000
Other names 1
- Burke Avenue Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151113001082 | NY | DME Supplier - Pharmacy | 4284944695 | Practice locations: Bronx, NY |
| O20170816002885 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284944695 | Practice locations: Bronx, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Burke Avenue Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
759 Burke Ave
Bronx, NY 10467
Phone (347) 326-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1336323682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450742400000",
"number": "1609257443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 BURKE AVE",
"address_2": "BURKE AVENUE PHARMACY",
"city": "BRONX",
"state": "NY",
"postal_code": "104676611",
"telephone_number": "347-326-6000",
"fax_number": "347-326-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 BURKE AVE",
"address_2": "BURKE AVENUE PHARMACY",
"city": "BRONX",
"state": "NY",
"postal_code": "104676611",
"telephone_number": "347-326-6000",
"fax_number": "347-326-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHTAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-17",
"last_updated": "2015-12-22",
"status": "A",
"authorized_official_last_name": "EKOKOBE",
"authorized_official_first_name": "EMERENTIA",
"authorized_official_title_or_position": "PHARMACIST /PHARMACY MANAGER",
"authorized_official_telephone_number": "347-326-6000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "I046376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Burke Avenue 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 Dec 22, 2015; 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.