Individual provider Active NPI

Nimra Chaudhry, PHARMD

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1700552189
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066870 Issued in NY
Practice address
30 E Kingsbridge Rd
Bronx, NY 10468-7502
Phone
(718) 933-0278
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
066870NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Divino Pharmacy Corp CurrentSince May 16, 2022 Accepting new patients

Locations

30 E Kingsbridge Rd
Bronx, NY 10468
Phone (718) 933-0278

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066870 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

30 E Kingsbridge Rd
Bronx, NY 10468-7502

Mailing address

1010 Rogers Ave Apt 4a
Brooklyn, NY 11226-5597
Phone (443) 655-6619

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2021.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1700552189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ROGERS AVE APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265597",
            "telephone_number": "443-655-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687502",
            "telephone_number": "718-933-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "NIMRA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 17, 2021; 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.