Fordham Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021315 Issued in NY

Legal business name

FORDHAM PLAZA PHARMACY INC

Practice address

2515 Webster Ave
Bronx, NY 10458-5583

Phone

(718) 365-8148

Fax

(718) 365-1179

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Sharad Desai, RPHNPI 1457522492

Title

President

Phone

(718) 365-8148

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PLAZA 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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharad M Desai

  • Pharmacist
  • Bronx, NY
  • NPI 1457522492
  NPD Authorized official
• Akta M Patel

  • Pharmacist
  • Hoboken, NJ
  • NPI 1073101598
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1699780213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585583",
            "telephone_number": "718-365-8148",
            "fax_number": "718-365-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585583",
            "telephone_number": "718-365-8148",
            "fax_number": "718-365-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-365-8148",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fordham Medical of New York LLC
• Fordham Medical PC
• Fordham Optical Inc
• Fordham Optometry and Ophthalmic Dispensing PLLC
• Fordham Plaza Dental Associates
• Fordham Professional Medical Services of New York LLC
• Fordham Road Dental PC
• Fordham Road Pharmacy Inc.
• Fordham Road RX Inc
• Fordham Tremont

• 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 Feb 23, 2017; 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.