Divino Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DIVINO PHARMACY CORP

Practice address

30 E Kingsbridge Rd
Bronx, NY 10468-7502

Phone

(718) 933-0278

Fax

(718) 933-0279

NPI assigned

Mar 4, 2011

Last updated

May 12, 2022By 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

Ms. Nancy Fernandez

Title

President

Phone

(646) 251-2225

Specialties & licenses 2

Addresses

Other identifiers 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 3

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.

• Nimra Chaudhry, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1700552189
  NPD
• Kiran Ghouri

  • Pharmacist
  • Bronx, NY
  • NPI 1780086900
  NPD (past)
• Daniel Gonzalez

  • Pharmacist
  • Bronx, NY
  • NPI 1871777516
  NPD (past)

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1649578303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687502",
            "telephone_number": "718-933-0278",
            "fax_number": "718-933-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINO PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-251-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03325880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diverse Voices Speech Language Pathology PLLC
• Diversified Orthotics
• Divine Health Medical Supplies, Inc.
• Divinity Physician Services PLLC (AFC Primary Care)
• Divino Nino Pediatrics
• Joseph Divito, MD
• Khuzem Ahmed Diwan
• Ruffaida Diwan, M.D.
• Divy Dixit
• Roopali Dixit, PHARMD

• 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 May 12, 2022; 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.