Organization Active NPI

Lincoln One Health LLC

Doing business as Lincoln Specialty Pharmacy

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1700536422
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LINCOLN ONE HEALTH LLC
Doing business as
Lincoln Specialty Pharmacy
Practice address
2825 3Rd Ave # 2
Bronx, NY 10455-4066
Phone
(917) 792-2411
Fax
(917) 792-2414
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mirvice AhmadNPI 1942807532
Title
President
Phone
(347) 896-3441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2825 3Rd Ave # 2
Bronx, NY 10455-4066

Mailing address

2825 3Rd Ave # 2
Bronx, NY 10455-4066
Phone (917) 792-2411

Other names 1

  • Lincoln Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2825 3rd Ave
Ste 2
Bronx, NY 10455
Phone (212) 675-9332

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1700536422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE # 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "917-792-2411",
            "fax_number": "917-792-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE # 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "917-792-2411",
            "fax_number": "917-792-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN ONE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MIRVICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-896-3441"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Specialty 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 Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.