Individual provider Active NPI

Patricia A. Nyarko, MD, PHARMD

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1619292992
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0489711 Issued in NY
Practice address
3632 White Plains Rd
Bronx, NY 10467-5726
Phone
(347) 449-6513
Fax
(347) 449-6514
NPI assigned
Mar 30, 2010
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048971 NY
Pharmacist 183500000X 16089 MD
Pharmacist 183500000X RP046420 PA
Pharmacist 183500000X 0489711 NY Primary
Family Medicine Physician 207Q00000X 4301096280 MI

Addresses

Primary practice location

3632 White Plains Rd
Bronx, NY 10467-5726

Mailing address

2050 Continental Ave FL 2
Bronx, NY 10461-3902
Phone (917) 648-2971

Other practice location 1

8047 Brookstone Ct
Severn, MD 21144-4409
Phone (917) 648-2971

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL BRONX Direct
CONNECT URL BRONX
CONNECT URL BRONX
Other URL BRONX Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16089MDMDPharmacist
048971NYMDPharmacist
0489711NYMDPharmacist
RP046420PAMDPharmacist
4301096280MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Pharmacy, Inc CurrentSince Apr 17, 2022 Accepting new patients
Bristol Care Pharmacy, LLC Current Accepting new patients

Locations

3632 White Plains Rd
Bronx, NY 10467
Phone (347) 449-6513

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1619292992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CONTINENTAL AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613902",
            "telephone_number": "917-648-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675726",
            "telephone_number": "347-449-6513",
            "fax_number": "347-449-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8047 Brookstone Ct",
            "address_purpose": "LOCATION",
            "city": "Severn",
            "state": "MD",
            "postal_code": "211444409",
            "country_code": "US",
            "telephone_number": "917-648-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYARKO",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD, PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048971",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16089",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP046420",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0489711",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301096280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BRONX",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2050 Continental Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BRONX",
            "affiliation": "N",
            "address_1": "2050 Continental Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BRONX",
            "affiliation": "N",
            "address_1": "2050 Continental Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BRONX",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2050 Continental Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 12, 2022; 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.