Organization Active NPI

Bhole Pharmacy Inc

Doing business as 2000 Ninos Pharmacy

  • Pharmacy
  • New York, NY
National Provider Identifier
1700253713
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
034130 Issued in NY
Legal business name
BHOLE PHARMACY INC
Doing business as
2000 Ninos Pharmacy
Practice address
3663 Broadway
New York, NY 10031-1502
Phone
(212) 491-2910
Fax
(212) 491-9996
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Ashish Sevak
Title
R.PH.
Phone
(212) 491-2910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 034130 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

3663 Broadway
New York, NY 10031-1502

Mailing address

3663 Broadway
New York, NY 10031-1502
Phone (212) 491-2910

Other identifiers 1

IdentifierTypeStateIssuer
2162507OtherPK

Other names 1

  • 2000 Ninos Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161121002782 NY DME Supplier - Pharmacy 2860771573 Practice locations: New York, NY
O20220928002376 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2860771573 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Bhole Pharmacy Inc.3663 Broadway, New York, NY 10031-1502(212) 491-2910 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 11, 2022

National Provider Directory

National Provider Directory

Locations

3663 Broadway
New York, NY 10031
Phone (212) 491-2910

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1700253713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311502",
            "telephone_number": "212-491-2910",
            "fax_number": "212-491-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311502",
            "telephone_number": "212-491-2910",
            "fax_number": "212-491-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHOLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "SEVAK",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "212-491-2910"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034130",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2000 Ninos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.