Riverdale Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

RIVERDALE PHARMACY LLC

Doing business as

Riverdale Specialty Pharmacy

Practice address

3547 Johnson Ave
Bronx, NY 10463-1602

Phone

(718) 395-3509

Fax

(718) 395-5695

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tushar BalarNPI 1316617251

Title

Owner/ Pharmacist

Phone

(551) 998-4909

Specialties & licenses 1

Addresses

Other names 1

• RIVERDALE SPECIALTY PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tushar Pravinbhai Balar

  • Pharmacist
  • Bronx, NY
  • NPI 1316617251
  NPD Authorized official

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1629823208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 JOHNSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631602",
            "telephone_number": "718-395-3509",
            "fax_number": "718-395-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 JOHNSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631602",
            "telephone_number": "718-395-3509",
            "fax_number": "718-395-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BALAR",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "551-998-4909"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "3547 Johnson Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104631602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RIVERDALE SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Riverdale Pediatrics, P.C.
• Riverdale Physical Therapy PC
• Riverdale Psychology LLC
• Riverdale Senior Services, Inc.
• Riverdale SNF LLC (Schervier Rehabilitation & Nursing Center)
• Riverdale Sports Physical Therapy PC (Metro Sports Physical Therapy)

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.

Verify at the official NPI Registry.