Organization Active NPI

Evers RX Inc

Doing business as Boom Pharmacy

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1629884721
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
EVERS RX INC
Doing business as
Boom Pharmacy
Practice address
226 E 144TH St FL 2
Bronx, NY 10451-5909
Phone
(718) 292-0900
Fax
(718) 292-0909
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dave WattsNPI 1952554347
Title
President
Phone
(718) 292-0900

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)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

226 E 144TH St FL 2
Bronx, NY 10451-5909

Mailing address

226 E 144TH St FL 2
Bronx, NY 10451-5909
Phone (718) 292-0900

Other names 1

  • Boom Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boom Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1629884721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E 144TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515909",
            "telephone_number": "718-292-0900",
            "fax_number": "718-292-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E 144TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515909",
            "telephone_number": "718-292-0900",
            "fax_number": "718-292-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-292-0900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boom 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 4, 2024; 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.