Concourse Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023974 Issued in NY

Legal business name

CONCOURSE PHARMACY INC.

Practice address

767 Concourse VLG W
Bronx, NY 10451-3801

Phone

(718) 665-0026

Fax

(718) 665-6521

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Prasad Chintamaneni

Title

President

Phone

(718) 665-0026

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sankar Anne, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1922185610
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1609966498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 CONCOURSE VLG W",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513801",
            "telephone_number": "718-665-0026",
            "fax_number": "718-665-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 CONCOURSE VLG W",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513801",
            "telephone_number": "718-665-0026",
            "fax_number": "718-665-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "CHINTAMANENI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-665-0026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01796029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concourse Diagnostic Inc
• Concourse Drugs Inc. (Friendly Pharmacy)
• Concourse Medical Center Inc
• Concourse Medical Office P C
• Concourse Pediatrics
• Concourse Plaza Dental Associates PC
• Concourse Plaza Family Dental LLC
• Concourse Rehab & Nursing Ctr Inc.
• Concourse Replacement LLC (Grand Concourse Dialysis Facility)
• Concourse Village Primary Care PLLC

• 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 Mar 9, 2010; 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.