Organization Active NPI

E&G Excel Corp

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1649849373
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
E&G EXCEL CORP
Practice address
2701 Williamsbridge Rd
Bronx, NY 10469-4109
Phone
(929) 371-3185
Fax
(917) 933-8885
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
German Alexis Jaime
Title
Owner
Phone
(973) 572-6901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2701 Williamsbridge Rd
Bronx, NY 10469-4109

Mailing address

2701 Williamsbridge Rd
Bronx, NY 10469-4109
Phone (929) 371-3185

Other identifiers 1

IdentifierTypeStateIssuer
038896OtherNYPHARMACY RESGISTRATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230109001568 NY Part B Supplier - Pharmacy 4486024460 Practice locations: Bronx, NY
O20231212002689 NY DME Supplier - Pharmacy 4486024460 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
E&G Excel Corp2701 Williamsbridge Rd, Bronx, NY 10469-4109(929) 371-3185 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 21, 2022

National Provider Directory

National Provider Directory

Locations

2701 Williamsbridge Rd
Bronx, NY 10469
Phone (929) 371-3185

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1649849373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694109",
            "telephone_number": "929-371-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694109",
            "telephone_number": "929-371-3185",
            "fax_number": "917-933-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&G EXCEL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-572-6901"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY RESGISTRATION NUMBER",
            "identifier": "038896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Jul 24, 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.