Willis 146 Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035481 Issued in NY

Legal business name

WILLIS 146 PHARMACY INC

Practice address

473 Willis Ave
Bronx, NY 10455-4063

Phone

(917) 891-8700

Fax

(917) 891-8701

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Shafqat Mir

Title

Owner

Phone

(917) 891-8700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BZ Pharmacy Doing business as

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1669901492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554063",
            "telephone_number": "917-891-8700",
            "fax_number": "917-891-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554063",
            "telephone_number": "917-891-8700",
            "fax_number": "917-891-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS 146 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MIR",
        "authorized_official_first_name": "SHAFQAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-891-8700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01467330",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BZ Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli-Jean Natasha Williamson, DOH SERVICE PROVIDER
• Kenisha Janice Williamson
• Michelle Williamson
• Shauna Williamson
• Chanae Paris Willingham, RN
• Willis Ave Drugs Inc
• Willis Care Pharmacy Inc
• Willis Dental Care, P.L.L.C.
• Willis Star Pharmacy Inc.
• Aaliyah Willis, LMSW

• 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 Jul 19, 2018; 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.