Archer Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

032152 Issued in NY

Legal business name

ARCHER PHARMACY INC

Practice address

1481 Leland Ave
Bronx, NY 10460-3901

Phone

(718) 823-5330

Fax

(718) 823-5348

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Ghazanfar Rafiq

Title

Owner

Phone

(718) 823-5330

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAS PHARMACY Doing business as

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

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1689915902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 LELAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603901",
            "telephone_number": "718-823-5330",
            "fax_number": "718-823-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 LELAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603901",
            "telephone_number": "718-823-5330",
            "fax_number": "718-823-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "GHAZANFAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-823-5330"
    },
    "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": "032152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03559377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Marcelo Arcentales
• Joy Victor Boado Arceo, NP
• Archana Singiri Medical P.C.
• Cheryl Archbald, MD MPH
• Maritza Archbold, M.D.
• Aubrey Cameron Archer
• Felix Jorge Archeval, CASAC
• Andrea Archibald, NP
• Edson Archibald
• Geordan Oliver Archibald

• 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 Jan 23, 2023; 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.