Active NPI
Khelly (Ny) Inc
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1699002352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KHELLY (NY) INC
- Practice address
- 83 E Gunhill Rd
Bronx, NY 10467 - Phone
- (718) 654-4305
- Fax
- (718) 654-4506
- NPI assigned
- Nov 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mina R Shah
- Title
- President
- Phone
- (732) 318-9628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
83 E Gunhill Rd
Bronx, NY 10467
Mailing address
83 E Gunhill Rd
Bronx, NY 10467
Phone (718) 654-4305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03207141 | Medicaid | NY |
Other names 1
- GUNHILL PHARMACY
National Provider Directory
National Provider DirectoryLocations
83 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 654-4305
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1811279433
-
- Pharmacist
- Bronx, NY
- NPI 1558769612
-
- Pharmacist
- Bronx, NY
- NPI 1003364142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577145600000",
"number": "1699002352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 E GUNHILL RD",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-654-4305",
"fax_number": "718-654-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 E GUNHILL RD",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-654-4305",
"fax_number": "718-654-4506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHELLY (NY) INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-17",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-318-9628",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03207141",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GUNHILL PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GUNHILL 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 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.