East Tremont RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034753 Issued in NY

Legal business name

EAST TREMONT RX INC

Doing business as

East Tremont Pharmacy

Practice address

1065 E Tremont Ave
Bronx, NY 10460-2306

Phone

(718) 861-0382

Fax

(718) 861-5575

NPI assigned

Jun 8, 2016

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad PatelNPI 1548351281

Title

President

Phone

(718) 861-0382

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• East Tremont 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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad A Patel

  • Pharmacy Technician
  • Bronx, NY
  • NPI 1548351281
  NPD Authorized official
• Mohammad Arshad

  • Pharmacist
  • Bronx, NY
  • NPI 1326139064
  NPD (past)
• Mariya Bondarenko, PHARMD.

  • Pharmacist
  • Bronx, NY
  • NPI 1235538133
  NPD (past)
• Kunhee Lee

  • Pharmacist
  • Bronx, NY
  • NPI 1912611435
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1700235074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602306",
            "telephone_number": "718-861-0382",
            "fax_number": "718-861-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602306",
            "telephone_number": "718-861-0382",
            "fax_number": "718-861-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TREMONT RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-861-0382"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034753",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160838",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04471330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Tremont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Haven Nursing and Rehabilitation Center
• East Tremont Dental Arts PLLC (East Tremont Dental)
• East Tremont Foot Care PLLC
• East Tremont Medical PC
• East Tremont Optical
• East Tremont Vascular Health Care, PLLC
• Eastchester Gastroenterology Associates, LLC
• Eastchester Medical Associates, PC
• Eastchester Rehabilitation and Health Care Center LLC
• Eastchester's Forever Young Social Adult Day Care, Inc

• 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 Jun 18, 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.